Erectile function in men with diabetes type 2: correlation with glycemic control

Abstract

Men with diabetes have an increased risk for erectile dysfunction (ED) than those without diabetes. The diabetes control and complications trial clearly showed that better long-term control of blood glucose in diabetes type 1 is associated with decreased frequency and delayed the onset of microvascular complications. The aim of this study is to explore the role of glycemic control, and its correlation to sexual function in patients with diabetes type 2. One hundred patients were selected for the study according to the following criteria: all the cases were presenting with diabetes type 2 as a single risk factor for ED, age being between 35 and 50 years and free of liver and kidney failure, and blood dyscrasis. The selected patients were evaluated for sexual function by asking the patients to complete the abridged form of the International Index of Erectile Function (IIEF). The evaluation of glycemic control was based on the measurement of hemoglobin A 1c (HbA 1c ) values. Our results showed that the level of HbA 1c is significantly higher with declining degrees of potency (P-value ¼ 0.003). Also, there is an association between potency degree and glycemic control (P ¼ 0.002). We conclude that glycemic control is independently and inversely associated with ED in men with diabetes type 2.

Prevalence and Severity of Erectile Dysfunction as Assessed by IIEF-5 in North Indian Type 2 Diabetic Males and Its Correlation with Variables

“…Glycaemic control is independently and inversely associated with ED in men with diabetes type 2, as was concluded by Awad H et al, [8]. Domenico Fedelea et al, [9], in which they quoted various studies that had re stressed that a poor metabolic control was associated with an increased risk of ED, both in Type 1 and Type 2 subjects.…”

Evaluation of Sexual Frequency in Married Egyptians with Type 2 Diabetes Mellitus

“…Diabetes is directly related to erectile dysfunction, which may be the cause affecting sexual frequency [15,16].…”

“…The erectile function score was the sum of the questions, with a maximum of twenty-five. Results were: good response, (>20); fair response (15)(16)(17)(18)(19)(20); and poor response (<15) (Rosen et al).…”

Neurovascular Evaluation in Eugonadal Men with Type 2 Diabetes Mellitus and Erectile Disfunction: A Comparative Study between Responders and Not Responders to Phosphodiesterase 5 Inhibitors

“…Several factors have been involved such as neuropathy, vascular disease, metabolic syndrome, nutritional and endocrine disorders and drugs used in the treatment of DM [6]. Moreover, diabetic patients have comorbid factors such as hypertension and chronic renal failure that predispose to ED [1] [6].…”