Talking about Diabetes Mellitus and Erectile Dysfunction

Reading popular science is boring, isn’t it? Let’s listen to a song first, the classic chorus of three old men, Zhou Huajian, Huang Pinguan and Li Zongsheng: < < Recently, I’ve been bored > >.

[Recently, I am more annoyed, more annoyed than you, and more annoyed than you. I dreamed of having dinner with Ai Iijima. The dining room in my dream was too dimly lit, and I couldn’t find the small blue pill everywhere.]

Li Zongsheng’s husky vicissitudes of life and slightly teasing voice echoed in my ears. I seemed to see: sitting beside the beautiful woman, his pupil was shining with light, but there were a few drops of clear tears flowing silently at the corner of his eye…

Today, let’s take a look at erectile dysfunction (ED) in men, specifically, in men with diabetes.

Why is it easy [not easy] for diabetic men?

I always feel that it is not easy to get an accurate ED incidence rate under the social atmosphere of “men cannot say no”. However, doctors bypassed this threshold and got the following set of highly reliable data:

    Among men with definite ED, 40% suffer from diabetes. The onset of ED in diabetic men is on average 10 years earlier than that in non-diabetic people.

Diabetes, ED, how did these two demons come together?

The related mechanism research has been very in-depth. At present, it is believed that vascular endothelial changes are the basis of diabetic ED. Neuropathy is the key link in the pathogenesis of diabetic ED. Endocrine changes are the aggravating factors of diabetic ED.

Vascular and neuropathy are the most basic chronic complications of diabetes. When these lesions involve the kidney, it is diabetic nephropathy. Involvement of fundus is diabetic retinopathy. Involving large blood vessels is diabetic cardiovascular and cerebrovascular diseases. And what is involved is diabetes ED.

How Prevention of Diabetes Male [No]?

Rain hates clouds and sorrows, adding another layer of smog to the sky of diabetics. A voice shouted loudly: Is there any hope? !

Your Excellency, let’s rest the anger of the thunder. I still have a lot of feelings to bear.

For diabetics, controlling blood sugar can prevent and delay the occurrence of complications. Treatment can reduce the risk of various complications, including death, and of course can also make the penis look up again.

Many factors will promote the occurrence of diabetic ED, some of which we cannot or are difficult to intervene, such as age, course of diabetes, etc., but the initiative of more factors is completely in our own hands.

1. Blood sugar level is the most important controllable factor.

Another data is given: with the increase of glycosylated hemoglobin (HbA1c), the incidence of ED increases, and increases significantly when HbA1c is greater than 8%. Therefore, controlling blood sugar at normal level is the basis and focus of prevention and treatment of diabetic ED.

2. Smoking can obviously aggravate the damage of diabetic vascular endothelial cells.

Nicotine in cigarettes can also strongly contract blood vessels, making penis cavernous blood vessels in a spastic state for a long time. There is clear evidence that with the extension of smoking time, the number of smoking increases, the incidence of ED will also increase significantly. Therefore, to be strong, quit smoking first.

3. Body shape is also an important factor affecting ED

There is a study in which the relative risk of ED in type 1 diabetes patients with body mass index (BMI) ranging from 26.6 to 29.3 is 1.8, while when BMI > 29.3, the risk rises to 2.5. I don’t know how to calculate BMI. Look at this.

It can be seen that obesity and ED are close partners. They will come together and leave together. Therefore, for sexual happiness, they should lose weight.

[No] Diabetic Male how Treatment?

The above places more emphasis on the prevention and basic treatment of diabetic ED. Far cannot hydrolyze near thirst. There are still some ways to quench thirst.

1. Small Blue Pills

PDE-5 inhibitors are the first choice for quenching thirst, I believe that the “blue pill” (sildenafil) that Zongshengge cannot find has long been deeply rooted in the hearts of the people and has become a well-deserved image spokesman for such drugs. In addition, there are many similar drugs, such as [tadanafil] whose drug absorption is not affected by food and alcohol, [avanafil] which takes effect very quickly, and each has its own characteristics and can be selected according to needs.

2. A variety of formal treatment methods

In addition to oral drugs, there are also treatment methods such as percutaneous and transurethral administration, cavernous injection, negative pressure absorption and narrowing device, prosthesis implantation, vascular surgery (including penile artery reconstruction and venous ligation), gene therapy, etc., but these all need to be selected and implemented by specialists strictly according to indications.

Special reminder: Due to the particularity of the disease, the field of ED treatment is mixed with good and evil people and mixed with mud and sand. Please do more homework before seeing a doctor and don’t trust advertisements.

Diabetes ED is not terrible, but if patients lack relevant knowledge, do not fully prevent and do not do effective treatment, then another song by Li Zongsheng-< < cloudy day > > is sung to you:

[Men don’t have to say nothing, women really don’t have to be delicate and pitiful, in short, in those years, the two of you didn’t have a chance…]

Editor: Ji Lingyan

Author: Zhang Zheng