Diabetes occurs when there is too much sugar or glucose ion the bloodstream.The insulin hormone has to move the glucose into the body cells to produce energy. The failure of this hormone to perform such function results in diabetes.
Diabetes in men sometimes results in erectile dysfunction. Men who have diabetes normally are likely to experience erectile dysfunction three times according to studies. Erectile dysfunction is a situation where men penis is unable to either maintain firmness or unable to be firm.This does not help in sexual intercourse.
Erectile dysfunction is normally evident in Type 2 diabetes where “your body’s cells aren’t able to respond to insulin as well as they should. In later stages of the disease, your body may also not produce enough insulin.Erectile dysfunction (ED) is a common problem amongst men who have diabetes affecting 35-75% of male diabetics. Up to 75%of men suffering from diabetes will experience some degree of erectile dysfunction (erection problems) over the course of their lifetime.Men who have diabetes are thought to develop erectile dysfunction between 10 and 15 years earlier than men who do not suffer from the disease.Over the age of 70, there is a 95% likelihood of facing difficulties with erectile function”.
It can be overcome by certain diet changes,pumps or rings, drugs, behavioural changes
The following information is based on studies
- Pumps or rings
“Vacuum pumps consist of a plastic tube, in which you place your penis. The pump, which may be battery or hand pump operated, creates a vacuum that will draw blood into the penis making it erect. A rubber ring will need to be placed around the bottom of the penis to keep it erect. A vacuum pump is not for use if you have a bleeding disorder or take anticoagulants.
Additional treatments include vacuum constriction devices, intraurethral alprostadil suppository or intracavernous injection therapy and sex therapy.
Alprostadil is a form of hormone medication that stimulates blood flow to penis, and may be given by two different methods:
- Intracavernosal injection – whereby alprostadil is given by injection into the penis
- Intraurethral application – whereby a pellet (1.6mm diameter and 6mm length) of alprostadil is inserted into the urethra via a urethral stick
Alprostadil may be prescribed if you do not respond to other treatments, or you are unwilling to try oral medications or vacuum pump therapy. Your health team may provide training on how to inject or insert alprostadil.
Once Erectile Dysfunction (ED) has developed, oral agents are considered first-line therapy.
The following medications on prescription for men with diabetes:
Brand names include:
However, these medicines can all affect the heart rate, and detailed consultation with your doctor is necessary to determine the best course of action.
Sildenafil (Viagra) acts by blocking the catabolism of cGMP, resulting in an increase in nitric oxide. Fifty-six percent of diabetic men with ED experience improvement with sildenafil, compared to ∼70% of nondiabetic men with ED.
3. Diet changes
– Include foods rich in fiber and healthy carbohydrates in your diet. Eating fruits, vegetables, and whole grains will help keep your blood glucose levels steady.
– Eat at regular intervals
– Only eat until you’re full.
– Control your weight and keep your heart healthy. That means keeping refined carbohydrates, sweets, and animal fats to a minimum”.
4. Behavioural changes
-less or no alcohol intake
– At least daily exercise of 30 minutes will help to keep the heart healthy and control glucose in the blood