Diabetes Symptoms

Our goal is to help with the care and treatment of diabetes including diagnosing the symptoms

Blood sugar levels
Blood Sugar

Treatment Options

There are a number of options available for treating ED, including medication, vacuum devices, surgery, and psychosocial therapy. The least invasive non pharmaceutical method of treatment is a mechanical vacuum device. A cylinder is placed over the length of the penis and a hand­operated vacuum pump is used to remove the air from the cylinder, creating a vacuum and pulling blood into the penis to create an erection. Once erection has been achieved, it is sustained with the use of a tension ring placed at the base of the penis. The thought of a hypodermic syringe anywhere near your groin area might send shivers down your spine, but many men with ED caused by neuropathy can be helped with one of several drugs that are injected directly into the penis (papaverine hydrochloride; phentolamine; alprostadil, or Caverject) to dilate, or widen, blood vessels and cause an erection. Alprostadil is also available in a suppository (Medicated Urethral System for Injection, or MUSE) that can be inserted into the urethra, a more palatable choice for some men. Topical vasodilators medications that are rubbed on the penis to improve blood flow-may also be an option, but reports of their success are mixed. Viagra (sildenafil citrate) has helped millions of men with erectile dysfunction problems since its release in 1998. The drug is taken about an hour before sexual activity and works by enhancing the effects of nitric oxide on the body, which dilates blood vessels and acts as a smooth muscle relaxant. This improves blood flow to the penis and facilitates an erection when sexual arousal occurs. Several clinical studies have demonstrated that Viagra is well tolerated by men with both type 1 and type 2 diabetes, and can help these men improve their erectile function significantly. One potential drawback is the need to take the drug sixty minutes before sex; if you're a spur of the moment kind of guy you'll need a new strategy. Two new drugs for ED vardenafil and Cialis were still pending FDA market clearance for U.S. sale as of early 2003. Insertion of a penile implant, or treatment and repair of arterial and venous damage related to ED, are more invasive options to treat impotence. Your doctor can discuss treatment options that are right for you. If your impotence is rooted in depression, anxiety, or other emotional issues, your doctor may refer you to a counselor, psychiatrist, or psychologist for help in sorting through it all. A couples therapist may also be helpful for uncovering sources of marital tension.

Diabetes And Fertility

Men with long term, uncontrolled diabetes can suffer nerve damage that causes a condition known as retrograde ejaculation where sperm is deposited into the urinary bladder instead of being ejaculated out the head of the penis. This happens because the small muscle that controls the passageway into the bladder becomes damaged and doesn't close as it should during climax, so sperm is rerouted into the bladder. Some men may have reduced ejaculate as a result of this condition, while others may not ejaculate at all. The latter is referred to as "dry climax." Retrograde ejaculation can be a cause of male infertility, and if it is caused by neuropathy it cannot be surgically corrected at this point in time. If you have symptoms of the condition, you should talk to your doctor about a referral to a urologist. Couples who have trouble conceiving due to retrograde ejaculation should see a fertility specialist. Assisted reproduction may be a possibility by retrieving sperm through a bladder washing procedure and using it to artificially inseminate your partner.