Diabetes is the condition in which the body does not properly process food for use as energy. Most of the food we eat is turned into glucose, or sugar, for our bodies to use for energy. The pancreas, an organ that lies near the stomach, makes a hormone called insulin to help glucose get into the cells of our bodies. When you have diabetes, your body either doesn’t make enough insulin or can’t use its own insulin as well as it should. This causes sugars to build up in your blood.
Type 1 diabetes (previously known as insulin-dependent, juvenile or childhood-onset) is characterized by deficient insulin production and requires daily administration of insulin. The cause of type 1 diabetes is not known and it is not preventable with current knowledge.
Type 2 diabetes (formerly called non-insulin-dependent, or adult-onset) results from the body’s ineffective use of insulin. Type 2 diabetes comprises the majority of people with diabetes around the world, and is largely the result of excess body weight and physical inactivity.
Signs and symptoms of diabetes unique to men include:
Erectile dysfunction (ED or impotence). A man’s fertility is not affected by diabetes. However, diabetes can sometimes contribute to sexual problems for men. The most common problem is erectile dysfunction (also known as impotence), when the man is unable to get or keep an erection long enough for intercourse. When men have erectile dysfunction, ejaculation may or may not be affected. For men with diabetes, reduced blood flow and nerve damage to the penis can be the underlying reasons for erectile dysfunction. Men with diabetes who experience erectile dysfunction often have other complications related to nerve damage or blood circulation problems. This can include high blood pressure, high cholesterol or heart disease. Men with diabetes may have a low libido and may not feel like having sex when their blood glucose levels are high. Treatment for ED :
1. Lifestyle changes, such as cutting back on alcohol, quitting smoking, losing weight, and increasing physical activity
2. Reviewing your medicines and cutting back on or changing those that may be linked to ED
3. Psychotherapy may be used to help decrease the stress and anxiety that may be linked to sex.
4. Prescription oral medicines are commonly used to treat ED. There are many different medicines available for example Sildenafil (Viagra), Tadalafil (Cialis, Adcirca), Vardenafil (Levitra, Staxyn) or Avanafil (Stendra). These pills can help ease blood flow to your penis, making it easier to get and keep an erection. Check with your doctor to see whether one of these medications is a safe choice for you. Be sure to discuss with your doctor, in case you have a history of heart attack or stroke, or if they have a bleeding disorder or stomach ulcers.
5. Prescription medicines injected into the penis or put into the urethra are also available. Like oral medications, these drugs increase blood flow that helps you get and maintain an erection.
6. Testosterone therapy may improve energy, mood, and increase sexual interest in older men who have low testosterone. It is not advised for men who have normal testosterone levels for their age because of the risk of prostate enlargement and other side effects.
7. Vacuum devices can be used to create an erection by using a partial vacuum to draw blood into the penis. Then an elastic ring is put on the base of the penis to keep the blood there during sex.
8. Penile implants can be surgically placed if other treatments do not work
Retrograde ejaculation. Retrograde ejaculation is a condition in which the semen enters the bladder instead of oozing out through the urethra. Although the person may attain sexual climax, the ejaculation would be very little or perhaps none at all. Retrograde ejaculation does not cause any harm but can be lead to infertility in men. It is commonly known as dry orgasm.
This uncommon condition takes place when the bladder opens but does not close. This causes the semen to come backward rather than going forward and out through the penis. Several conditions can cause problems to the muscle that closes the bladder leading to this condition. Retrograde ejaculation in men with diabetes may be caused by nerve damage to the muscle (external sphincter muscle) that opens and closes the bladder neck. High levels of blood glucose can damage the nerve and muscles of the sphincter. If retrograde ejaculation is caused by diabetes, controlling blood glucose levels and making lifestyle changes may help. Most men do not need treatment. However, it is difficult for men with retrograde ejaculation to have a baby naturally. If trying to conceive, couples may need assisted reproductive technologies such as IVF. Certain drugs can be used to treat retrograde ejaculation, such as pseudoephedrine or imipramine, which can keep the bladder neck muscle closed during ejaculation. Sometimes, changing blood pressure medication is also prescribed. If you are taking certain medication that could cause retrograde ejaculation, stopping that drug can make it go away and restore normal ejaculation.
Low testosterone (low-T). Low testosterone levels in men are associated with insulin resistance or reduced insulin sensitivity. When you have insulin resistance, your body produces insulin but doesn’t use it properly. As a result, glucose builds up in your blood rather than being absorbed by cells. Insulin resistance can lead to type 2 diabetes and increase your risk for a number of health problems, including heart disease.
Decreased sex drive (decreased libido) and sexual dysfunction. If you just don’t have much desire for sex, you may have low testosterone. Like ED, low testosterone is more likely in men as they age. But having diabetes, especially if it is type 2 or you are overweight (or both), doubles your chances of having it. You can feel the effects of low testosterone in many areas of life. Your energy, muscle strength, and mood may be low, as well as your sexual desire. You may have fewer and weaker erections. You can use testosterone gels, patches, shots, or pellets. Testosterone replacement therapy can boost your energy, sex drive, erections, muscle mass, and mood.
Above all, the most important is to improve ED and your overall health with these choices :
Stop smoking. Tobacco use, including smoking, narrows your blood vessels, which can lead to or worsen erectile dysfunction. Smoking can also decrease levels of the chemical nitric oxide, which signals your body to allow blood flow to your penis.
Lose weight. Being overweight can cause, even worsen, erectile dysfunction.
Include physical activity in your daily routine. Exercise can help with underlying conditions that play a part in erectile dysfunction in a number of ways, including reducing stress, helping you lose weight and increasing blood flow.
Limit or stop alcohol. Excess alcohol can contribute to erectile dysfunction. If you choose to drink alcohol, do so in moderation. For healthy adults, that means up to one drink a day for men older than age 65, and up to two drinks a day for men age 65 and younger.