Sunday, August 30, 2009

Easy impotence diabetic patients

Clinical diabetic impotence incidence rate of about 35-59%, 2-5 times higher than the normal population. Both vascular and neurological factors, or diabetes and drugs of the psychological factors, status of diabetes patients with impotence should have sufficient attention. Speaking of this type of impotence nursed back to health problems, in addition to the need for diabetes, their own patient during convalescence, the impotence and for those who have emerged in patients must be nursed back to a more specific way. Because smoking will increase vascular disease, for diabetes should be smoking from the beginning, for still-smokers, must immediately stop smoking, which is conducive not only impotence recovery can also reduce the diabetic vascular disease. For those who have emerged extremities numb the pain, you should add some vitamin B substances clothes, or to increase the diet containing these vitamins. The purpose is to reduce the nervous system lesions, even if impotence is hard to immediately rehabilitation patients, at least give many benefits to your health. If you take some of hypoglycemic drug-induced impotence, may wish to switch to other drugs and hypoglycemic, or the use of proprietary Chinese medicines to hypoglycemic. Indeed there is no way for those who can also direct use of insulin injections to resolve the troubled diabetes. Regardless of diabetes itself, or in patients with concurrent diabetes, impotence, psychological relaxation and adequate physical exercise are essential, and preferably selected practicing tai chi, tai chi sword and the like, reaches a certain degree, you will feel great sport and gain the confidence to overcome the disease. One day, with my contacts for many years a painter to patronize the men's clinic. Because there are not seen for several years to see further than before when you felt that he had some fat. Because 20 years ago diagnosed with type Ⅱ diabetes, the body looks, or lack of some strength, but today it seems even more lethargic, had an impediment to sexual function in patients suffering from impotence said everyone. The patient has been using glibenclamide, phenformin, Xiaoke Pill, and other traditional Chinese medicines (name unknown) and other drug treatment of diabetes. Patients with body fatness, physical illness and has been feeling pretty normal sexual function, taking hypoglycemic agents, and despite feeling somewhat diminished, but basically every time to complete sex life. However, nearly a year and a half years, the situation is quite different, especially when this is six months, because of penile erection could not have been a very long time no sex life. When asked whether there is an erection morning, only that there may be little time left will appear the phenomenon of a slight erection. His physical strength is not good to eat but also control, there is no taste mouth, sleeping more shallow palpitation palpitations occur when blood pressure is also high and sometimes low (but not severe). Check the value of fasting plasma glucose and postprandial blood glucose values, were prompted to get a more stable blood glucose control. Fundus microscope to prove that the phenomenon has been hardening of the arteries. In order to obtain further information, suggested that he test penis ring that night did a test and found that only the first root (blue) fault, that although patients with penile erection, but insufficient. Initially considered to belong to mixed impotence (both functionality is also organic), both side effects of drugs, but also causes hardening of the arteries, as well as psychological. So, give him a psychological guidance, and from over the years the treatment of diabetic impotence associated with the experience of starting. From the Chinese point of view, this certificate should be Qi and Yin Deficiency, meridians Stagnation, both body fluid deficiency syndrome, who then fired a traditional Chinese medicine prescriptions, a total of 20 serving as a course of treatment. The results, after taking a course of treatment, patients feel significant improvement in physical strength, checking blood sugar were normal. However, improvement of sexual function was not obvious, in the front, based on an appropriate increase of Epimedium, treating diabetes, and Hyun-Ju powder dosage, respectively, increased to 20 grams. And then, after taking a course of treatment, patients have normal penile erection, during which had a successful sex life. Clinically, because of diabetes-induced erectile dysfunction in patients with many of them part of a spiritual nature, accounting for about 30%, some of it is caused by hypoglycemic drugs, while others are caused by diabetes, vascular diseases of the nervous induced. In fact, more patients are the result of a variety of factors, therefore, the treatment must be fully taken into account, the only way to erectile dysfunction disease rehabilitation as soon as possible.

Why diabetic patients suffer from impotence

Recently, there was a birthday just over 40-year-old male, sexual dysfunction and the emergence of "erectile dysfunction" (ED), to the hospital out-patient, after medical examination found that high blood sugar, identified as diabetes, being treated. Diabetes can cause impotence. Foreign medical information, according to statistics, between the ages of 25-55 years the incidence of diabetes in patients with impotence as high as 30% -60%. Impotence is one of the complications of diabetes, its causes are more complicated, it is nerve vascular disease and glucose metabolism disorder caused by a combination of factors. Because diabetes is a process involving a variety of tissues and organs of the body function and metabolism diseases, high blood glucose, first of all will affect the hypothalamus, pituitary and testicular function in vivo sex hormone can cause metabolic disorders, resulting in penile erection is difficult. If the diabetic patients abnormal fat metabolism, lipids and polysaccharides attached to the blood vessel wall, when the dominant penile vascular obstructive disease, the penis is not sufficient blood supply, but also an important factor leading to impotence. The majority of patients have sexual dysfunction and other symptoms of diabetes, manifested at the same time, but also some patients before the onset of symptoms of diabetes on the sex life that indifferent, or even impotence. Therefore, the experts pointed out that middle-aged, hard penis erection if they feel their sex life or lack of interest, it is good combination of health check-in time to go to hospital for a blood glucose measurement. Once a blood sugar rise, diagnosed with diabetes, then a doctor must be under the guidance of different causes, as soon as possible to take a comprehensive control measures. Clinicians believe that patients with early diabetic impotence on arranging meals if we persist with the scientific nutrition, limit on the total calories, eat less Feigan Atsumi of the goods; the same time, the rational use of medication by your doctor so that blood sugar stabilized at normal levels; and to avoid adverse stimulation, and keep the spirit of a happy, effective control of progression of the disease, sexual dysfunction is expected to be complete or partial remission as well as recovery.

Saturday, August 29, 2009

How to overcome obstacles that people with diabetes

A common complication of diabetes is sexual dysfunction. This is because the long-term blood sugar will lead to peripheral nerve, autonomic nerve and peripheral arterial disease of the series. When the affected peripheral nerves, it can reduce the feelings of the place the feel of the penis erectile dysfunction - impotence. National statistics are available, in 100 diabetic men, there are 35 ~ 60 people appeared in impotence. Abroad have also been reported, home to hospital 536 men with diabetes analysis, in which impotence occurs for 6 months or more accounted for 35%, and the incidence increased with age. Some scholars believe that impotence is a sign of diabetes increased. If we do not pay attention, but also complicated by other symptoms. Female candy urine disease sexuality also be affected. Study found that patients with diabetes disease 5 to 10 years later, a significant reduction in sexual desire, sexual life of apathy. This change that the disease, but also with psychological factors. Diabetic person's sexual life, according to each person's circumstances, the condition of light, the age of light, the normal sexual desire, you can lead a normal sexual life, but restraint; condition heavier, and some of older, although of requirements, but less than the normal 2 / 3, but also a way to change the sex life, moderation. Not only to avoid the intense action of sexual intercourse, and sex life should be focused on areas caress. On the occurrence of sexual dysfunction, and can take an integrated treatment approach: First, psychological adjustment, such as should overcome pessimism and establish a disease-fighting confidence; to eliminate anxiety and tension caused by the spirit of burden, from the spiritual to the physical should relax and maintain a good mood , all help to overcome obstacles. Second, modulating food to enhance the body's disease resistance. Diabetic patients with normal diet may be appropriate to sparrows eat shrimp meat, loach, yellow croaker, snapper, rabbit meat, chives, Donkey, walnuts, sesame, black beans, etc. to help restore sexual function.

Diabetes and impotence

Diabetic erectile dysfunction (impotence) in incidence rate of 32 to 73,68%. Patients tend to carry a heavy ideological burden, over time, the patient's character became more withdrawn and irritable affect interpersonal relationships. Many patients with erectile dysfunction often think of the name Gu rule that since it is a must impotence impotence, depending on the preparations for the panacea for all kinds of impotence, in the can "to revive an erection glory, to incite youth firepower," lured by advertisements, not hesitate to spend millions to buy a wide range of health care products to take, or injection of male hormones, but the result was often disappointing, even counterproductive. Half of erectile dysfunction because in patients with decreased sexual desire is not, the abuse of impotence drugs may be to stimulate their sexual eroticism, but can not be completed, it will make "fill the" psychological burden is more serious, very conducive to disease rehabilitation. Diabetes erectile dysfunction for a variety of factors, but the most important thing is the blood vessels caused by high blood sugar disease, caused by the narrow lumen, so that the supply of blood flow to the penis significantly reduced penile erection can not be a good way; or due to the high glucose caused by neuropathy, resulting in nerve endings to reduce the release of neurotransmitters, resulting in nerve conduction, reflecting barriers, erectile function would be brought to its knees; endocrine abnormalities is also one of the causes, while a significant reduction in the amount of sex hormones, the erectile dysfunction will lose drive force. Some patients, especially, the young patient's sex organ is not organic disease, erectile dysfunction is anxiety, tension, depression and other mental factors. More common is the combination of two or several persons. Therefore, the treatment of erectile dysfunction can not concentrate on one thing, the maximum possible extent of checks carried out in order to ascertain the factors involved in disease, there are targeted, multi-level integrated treatment, can only receive satisfactory results. Treatment should pay attention to the problems and the exact effect of treatment methods are: 1, produced by Tan and blood pressure in the blood. Erectile dysfunction high blood sugar is the "culprit" and must be strictly controlled. Fasting blood glucose is best not to exceed 6,6 mm01 / L, postprandial blood glucose should not exceed 8.3mm01 / L; high blood pressure can accelerate arterial lesions, to control blood pressure less than 140/85. Patients should be no smoking, smoking is not conducive to the control of blood glucose and blood pressure, but also to promote atherosclerosis and increase blood carbon dioxide levels and blood viscosity; smoking has been perceived as an independent risk factor for erectile dysfunction. In the treatment of diabetes and the incidence of complications, detrimental to erectile dysfunction drugs should be used with caution. 2, mental and psychological therapy Diabetic erectile dysfunction, some devices in patients with no significant qualitative disease, erectile dysfunction is the cause of mental and psychological factors, characterized by sleep or awakened when an erection, or masturbation, pornography, Lenovo will be an erection, and in the same room when you want to can not an erection (erectile dysfunction is organic matter under what circumstances will not erection). If it is not organic erectile dysfunction, through the psychological adjustment, sexual behavior and sexual feelings of intensive training to guide therapy may be a satisfactory effect. It must be noted is that many when the patient's penile erection, because of fear of losing the opportunity to rush the same room, in the anxiety state to act erection will disappear soon. If it is suddenly not OK intercourse, but also strengthen the kissing, caressing, language stimulation, in order to promote psychological balance. 3, injection and exposed armed therapy. ① intracavernous injection of vasoactive drugs to stimulate penile erection. However, if excessive medication, it may cause priapism. Long-term use will cause the penis fibrosis, the formation of sclerosis and other side effects. ② external negative pressure device. Instruments used were artificially simulate the occurrence of erection and maintenance of the process. So that the penis due to negative pressure sucking the blood and an erection same stuff. Broad indications of such devices, simple operation, and very rarely cause complications, especially for older and are unwilling to undertake a number of examination and surgery. 4, penis to support implantation. For treatment failure with other methods, while the patient's sexual desire, ejaculation function is not impaired sexual function of their own, confident person, after all, a simple and effective method. Silver is currently used silicone rubber coherence into the penis, with a low price, no mechanical failures and so on.

Friday, August 28, 2009

Diabetes and sexual life

1 diabetes on sexual function and sexual desire of
Male: The male impotence incidence of diabetic patients as high as 40% to 60%, symptoms of the disease increased gradually with the increase. Patients had a normal sexual desire, ejaculation and there you can orgasm, only the symptoms of penile erection will not be strong. With the extension of duration of diabetes, can gradually develop into complete impotence. About 1% ~ 2% of diabetic patients will occur retrograde ejaculation, or orgasm, when semen from the urethra outside the mouth are not fired, but a counter-current to the bladder, bladder neck with the patient's autonomic control damage to related to ejaculation, when this should be in closed the state into an open bladder neck.
Women: women with diabetes during the early sexuality still exist, sexual excitement phase of the normal degree of vaginal lubrication, but more, see Sang Shizhe orgasm. Course of the disease for the elderly due to severe neuropathy, combined with vaginal dryness, prone to vaginitis and so on, can lead to difficulties in sexual intercourse.
2, sex life on the impact of the disease
Sex life process does not increase the diabetes. However, when severe diabetic complications, then the health of the spouse to be understanding of the patient can not be forced to act, or adverse effects may occur.
3, sex life guidance
Diabetes can be a normal sex life, have been heavier complications, especially heart, brain and kidney damage, the sex life should not be excessive, inappropriate emotional excitement.
Male: Impotence may be a symptom of diabetes earlier, hence the phenomenon should be related to impotence diabetes checks. If confirmed to have diabetes should be actively treated, carefully controlled diet, regular application of hypoglycemic drugs. Diabetes under control, impotence symptoms can also be improved. If, after treatment of diabetes has been controlled and sexuality has not been restored, may be related to mental factors, this time with his wife and comfort should be given to alleviate the patient's anxiety. Such as diabetes duration too long, is already organic impotence (not only in sexual intercourse, that is, in the early morning when the phenomenon of non-penile erection) should be to the hospital for detailed examination, symptomatic treatment. Organic impotence may, by surgical implantation of penile prosthesis to achieve the purpose of sexual life.
Women: Women with diabetes should also be actively treated diabetes, when the disease under control after the sexual dysfunction can also be improved. At the same time rational use of drugs, a thorough treatment of vaginitis. Appeared atrophic vaginitis female patients may be appropriate to oral estrogen, such as Nylestriol films and so on can also be used vaginal lubricants.
Diabetic women, if pregnant, have to go to the hospital the doctor to do a comprehensive and detailed pre-pregnancy and prenatal care to understand the current severity of diabetes in order to determine whether time to pregnancy and childbirth, and ways. If the pregnant woman accompanied by diabetic nephropathy, coronary atherosclerosis, proliferative retinopathy fundus when abortion should be made to the early termination of pregnancy; if accompanied by high blood pressure, but also the termination of pregnancy is best to avoid affecting maternal and child health.

Wednesday, August 26, 2009

Why do diabetic patients prone to impotence

Wang nearly 50-year-old engineer, health conscious, and career success made him quite some pride. But I do not know why, in recent months, husband and wife sex life and often fail in this area, self-confidence is getting worse. Beginning to consider whether he was too busy because of work, which will influence sexual interest in the issue. However, to say busy, work is not more than before, we can see is not the main reason. In a doctor's guidance, he served a number of Chinese medicine impotence kidney is still not seen any effect. To specialist out-patient, the doctor asked in detail about history, still can not find the reasons for what can cause impotence, physical examination is also no abnormalities. But further tests found that blood glucose increased by glass proved to be suffering from diabetes by controlling diet and taking hypoglycemic agents, the impotence soon disappear, sex life back to normal.
Diabetes can cause impotence, according to statistics, diabetes is the proportion of men with impotence occurs up to 27.5 to 50 percent. Suffering from diabetes in our country less fairly in the United States and about two million men suffering from diabetes, which nearly one million concurrent erectile dysfunction. Impotence is usually more than occurs in the long-standing diabetes patients, which is due to high blood sugar can have a nerve polyol deposition, which can cause degeneration of nerve fibers lose their function. Peripheral nerve lesions can affect the feel of the penis, thereby reducing the penile erection response, such as the penis occurred on the autonomic nervous system damage, will enable the erectile tissue in the regulation of blood vessel out of control, so cavernous congestive can not be completed. In addition, diabetic patients prone to artery atherosclerotic plaque causes the arteries to narrow cavity, the penis will be in the capillary basement membrane thickening, which will cause the reduction of blood supply to be affected by erection. Diabetes would reduce the level of the patient's sex hormones, thus affecting sexual function. Like Wang engineers as other symptoms of diabetes has not yet occurred before the appearance of erectile dysfunction is a relatively rare, but it is not accidental. There are indeed many patients because of anti-impotence upon inspection discovered diabetes. If we do not from the point of view causes many to consider long-term use of certain impotence drugs is futile, Wang engineer is due to the body caused by poor metabolic control, so with the control diet to restrict calories, with drugs to control the blood glucose, without using drugs to improve sexual function, impotence can be a self-healing.
However, the diabetic impotence occurred, do not blame caused by diabetes. Because there are some organic changes have not occurred, but it is due to develop diabetes after the spirit of excessive tension, ideologically heavy burden on the restricted diet is extremely offensive to sexual dysfunction before the. On the treatment of psychological and behavioral treatment should be to proceed. For indeed as there are nerves and blood vessels change Erzhi impotence, although there were no drugs can cure, but by intracavernous injection of drugs and penile prosthesis surgery, or recoverability of life.

Diabetic patients with erectile dysfunction and erythrocyte aldose reductase related

Erectile dysfunction (ED) is a common complication of diabetes, while the erythrocyte aldose reductase (AR) is involved in a variety of diabetic complications.

Kyoto Prefecture Medical University, Department of Urology of the Naya Y, and colleagues studied 62 patients with diabetes, of which 25 cases had blood dialysis treatment (CRF chronic renal failure group), the remaining 37 cases of non-chronic renal failure group (DM group). The researchers selected 20 patients with age-matched healthy volunteers as controls, and all patients and controls were measured by quantitative AR Kit AR level. Diagnosis of ED includes five elements according to the International Index of Erectile Function (IIEF-5) derived.

The researchers found that, CRF group, the average level of AR was significantly higher than DM group and control group (P <0.001).>

Naya and so concluded that these results show that the AR level may be as a predictor of ED patients with diabetes an effective means of disease.


Tuesday, August 25, 2009

Diabetic sexual dysfunction

Diabetic sexual dysfunction can be divided into low sexual desire, erectile dysfunction, premature ejaculation, abnormal ejaculation, and lack of orgasm, etc., in which male patients with erectile dysfunction or impotence and more common in female patients with low sexual desire, common. Diabetic male patients about 35% to 75% accompanied by varying degrees of impotence, for 2 to 5 times normal, female sexual dysfunction in patients with diabetes, the incidence of men with diabetes nearly. Diabetic patients have sexual dysfunction is often caused by multiple factors, including: Psychological change in the diabetic impotence in about 25% ~ 35% of psychogenic impotence, some patients have significant depression, and this change prior to the occurrence of impotence. Another part of the patient there are psychological factors in impotence components, so that the original is not serious erectile dysfunction gradually worsened. Neurological changes in a wide range of diabetic neuropathy, can affect the central nervous system and peripheral nervous system, and genital-related damage to nerve tissue is one of the important reasons leading to impotence. Vascular disease of diabetes damages blood vessels including large blood vessels changes and changes in small blood vessels, hardening of the arteries and penis big vulva microvascular changes, rather then the microvascular occlusion, but also diabetic impotence of the important reasons. Diabetic Impotence Diabetes Impotence is called Traditional Chinese Medicine, TCM syndrome differentiation may be some effects. 1, kidney is less than the main card: cold impotence, decreased sexual drive, precision thin fine cold, dizziness, tinnitus, looking  white, apathetic, Yaoxisuanruan, aversion to cold, short-winded fatigue, pale tongue, Run, or Indented, weak pulse, Shen small feet. Therapeutic: Warming kidney-yang. Recipe: Yougui Pill. Colla Cornus Cervi 10 grams, 6 grams of aconite, cinnamon 6 grams, Rehmannia 12 grams, 10 grams Dodder, Chinese angelica 12 grams, 10 grams of Eucommia, yam 15 grams, 10 grams cornus, Chinese wolfberry son of 10 grams, 10 grams of leek seeds. 2, Heart and deficiency of the main card: Impotence impotence, lack of energy, palpitations shortness of breath, fatigue spontaneous perspiration, Xing Shou Shenpi night, disturbed sleep soundly, poor appetite, looking not Chinese, pale tongue, thin pulse Shen. Therapeutic: Heart and tonic. Prescription: Decoction owned by the spleen. Astragalus 15 grams, 10 grams Atractylodes, Fu Shen 12 grams, 12 grams of longan meat, ginseng 10 grams, costas 10 grams, angelica 12 grams, Polygalaceae 12 grams, 6 grams of licorice, Suanzaoren 12 grams, 10 grams of Epimedium, leek seeds 10 grams. 3, damp, bet the main card: impotence stems soft, scrotum wet, stinky smell of urine, or tickle, lower extremity acid storm, urine short red, yellow greasy tongue fur, pulse moisten a few. Therapeutic: heat Lishi. Recipe: Plantain 15 grams, 10 grams of Scutellaria, Gardenia 10 grams, 10 grams of Alisma, Plantago 10 grams, 10 grams of Angelica, Bupleurum 10 grams, 15 grams of raw land, Yiyiren 30 grams, 6 grams of licorice . 4, liver Qi stagnation, the main card: impotence and loss of use, emotional depression or irritability, insomnia and dreaminess, Yaoxisuanruan, tongue dark moss white, thin string Shen pulse. Therapeutic: Soothing the Liver qi, and by promoting blood circulation. Recipe: Sini Decoction. Bupleurum 10 grams, 10 grams of Citrus aurantium, citrus aurantium 10 grams, 10 grams of Angelica, white peony root 12 grams, centipede 2, 6 grams of licorice, bergamot 12 grams, 9 grams of hedgehog skin. In addition, the treatment of diabetic impotence, strict control of blood glucose and sex consultation is very important. Impotence have some privacy, and sexual activity involving both husband and wife, husband and wife together to specialist out-patient consultation is very necessary, especially those consisting mainly of psychological factors, patients with impotence.

Diabetic patients with erectile dysfunction

"Diabetes care" magazine reported that more than half of patients with type 2 diabetes erectile dysfunction problems exist, but only less than 1 / 3 of patients said their doctors had cared about this issue.
Italy Consorzio Mario Negri Sud Institute, Dr. Antonio Nicolucci and his colleagues investigated 1460 cases of male patients with type 2 diabetes in order to determine the prevalence of erectile dysfunction, as well as those issues impact the quality of life.
The researchers found that subjects often appear in erectile dysfunction, occasional erectile dysfunction erectile dysfunction and without the respective percentages of 34%, 24% and 42%. However, only 10% of men said their physicians often concerned about their sexual problems, while 63% of men claimed that their doctors never investigating these issues.
Erectile dysfunction in direct correlation with diabetes the degree of physical and psychological stress. Both types of stress with the deterioration of metabolic control increased.
There is the issue of male erectile dysfunction patients often complained of severe depressive symptoms, with no problems in this respect compared with patients whose mental health score and sexual life satisfaction is relatively low.
Nicolucci Dr. pointed out that "as far as we know, this is the evaluation of erectile dysfunction associated with diabetes quality of life a the largest study. Sexual dysfunction and quality of life are closely related, indicating awareness of diabetes in patients with erectile dysfunction is a a very significant public health problem, which also requires us to identify patients with erectile dysfunction to be a high degree of attention. "

Sunday, August 23, 2009

35% of impaired sexual function in patients with diabetes mellitus

Belgium, a new study published in the medical journal "Diabetes Care", more than one-third of diabetic women with sexual problems. The study had 652 female patients with Type I diabetes to participate. 10 years later, the volunteers completed a sexual function questionnaire, received physical examination and laboratory tests assessing mood. Belgium's Louvain University, Dr. Paul Ensi Lin and colleagues found that 35% of people were classified as sexual dysfunction. 57% of them said there is loss of libido, 51% of them said orgasm problems, 38% of them said to reduce the level of sexual arousal, 21% said boring sex. The team pointed out: does the existence of diabetes female sexual quality of life, the impact from fluctuations in blood sugar state of physiological and psychological changes in blood glucose over time, under stable conditions, sexual life should also be improved accordingly. Female sex, poor quality of life mainly in premature vaginal dryness, loss of libido and other conditions. ED China's men with diabetes prevalence rate as high as 78%, but the treatment rate is only about 18%. Sexual problems caused by diabetes, women also account for a large proportion.

Analysis of the relationship between diabetes and sex

Diabetes is a chronic systemic endocrine diseases, the basic pathological changes of the absolute or relative lack of insulin caused by sugar, protein, fat, water and electrolyte substances such as metabolic disorders. Mainly characterized by high blood sugar, typical symptoms of "more than three a little", that is, polyuria, polydipsia, food, and often accompanied by weight loss. Its causes are diverse, the pathogenesis is also more complicated. In most cases, probably in genetically susceptible individuals to various environmental factors, result of the interaction. Diabetes and sexual Diabetes can be a normal sex life, sex life process does not increase the diabetes. However, when severe diabetic complications, then the health of the spouse to be understanding of the patient can not be forced to act, or adverse effects may occur. Impotence male impotence incidence of diabetes up to 40% to 60%, the symptoms gradually worsened. Initially only penile erection will not be strong, you can ejaculation, there is an orgasm, but also a normal sex drive. With the extended duration of diabetes may eventually develop into complete impotence. Impotence caused by diabetes, with the following factors: Early blood testosterone and gonadotropins to normal, after the occurrence of pituitary and testicular pathological changes in a corresponding reduction in sex hormones; Diabetic patients with renal insufficiency or liver dysfunction, neurological degeneration, including the autonomic control of penile erection, the penis because of neuropathy affect the tactile feel, reduced erectile response, peripheral arterial, affecting blood supply to the penis, can also cause impotence; vascular sclerosis, when it comes to penis erection will be affected by a small artery function; the spirit and the influence of drugs. In addition, impotence can be a symptom of diabetes earlier, hence the phenomenon should be related to impotence diabetes checks. If confirmed to have diabetes should be actively treated, carefully controlled diet, regular application of hypoglycemic drugs. Diabetes under control, impotence symptoms can also be improved. If did not receive effective treatment, accompanied by loss of libido, and diabetes has been controlled by checking at this time should take into account the spirit of factors, the need to eliminate anxiety, his wife to give co-ordination and comfort. Duration of diabetes for too long, even though there blood sugar under control, but the impotence persists, not only in sexual intercourse, that is, in the early morning when the phenomenon of non-penile erection, which is already organic impotence impotence may be related to neuropathy, vascular damage or other related endocrine disorders, should go to the hospital detailed examination, symptomatic treatment. Organic impotence may, by surgical implantation of penile prosthesis in order to achieve the purpose of sexual life. Retrograde ejaculation by about 1% a 2% of diabetic patients in retrograde ejaculation, or orgasm, when semen from the urethra outside the mouth are not fired, but a counter-current to the bladder, which dominated the patient's autonomic damage to the bladder neck, bringing the ejaculation, when the should be in closed state into an open bladder neck. Women with diabetes who have no male sexual function problems obviously, the psychological pressure of small, mainly for the lack of orgasm, it was statistical occurrence rate as high as 35.2%. The reason for the autonomic nervous system damage. In addition, female patients a slight degree of vaginal lubrication reduced sensitivity to autonomic nerve damage to the vagina weaken, and prone to vaginal infections, infection can cause painful intercourse caused by low sexual desire. Husband and wife can be used, such as vaginal dryness vaginal lubricants to provide lubrication and increase sexual pleasure. If vaginal fungal infection, can be partially used nystatin to eliminate the local inflammation. Treatment with hypoglycemic drugs, diet, infection control and other comprehensive adjustments, also allows the gradual recovery of sexual function. Women with diabetes should be actively treated diabetes, when the disease under control after the sexual dysfunction can also be improved. At the same time rational use of drugs, a thorough treatment of vaginitis. Appeared atrophic vaginitis female patients may be appropriate to oral estrogen, such as Nylestriol films and so on can also be used vaginal lubricants. The relationship between diabetes and birth Diabetic women, pregnancy issues should be carefully considered. The relationship between diabetes and pregnancy, there are two cases: one is diabetic pregnancy, that is, pre-pregnancy diabetes or impaired glucose tolerance have been women who appeared pregnant, postpartum diabetes, no change or increase; the other is gestational diabetes, or pregnancy No pre-diabetes or impaired glucose tolerance, diabetes mellitus after pregnancy, postpartum return to normal. Diabetic women, if pregnant, have to go to the hospital the doctor to do a comprehensive and detailed pre-pregnancy and prenatal care to understand the current severity of diabetes, and whether the time of pregnancy and childbirth, mode, etc. This is very necessary, this 10 million can not be taken lightly. If the pregnant woman accompanied by diabetic nephropathy, coronary atherosclerosis, proliferative retinopathy fundus when abortion should be made early in order to interrupt her pregnancy. If accompanied by high blood pressure, preferably also the termination of pregnancy. Under such circumstances, the mother and infant health at risk.

Friday, August 21, 2009

Diabetes affect the "sex life"

80% ~ 90% of diabetic patients with different degrees of sexual function decline, in which men showed erectile dysfunction (ED), while women showed sexual cool! Guangzhou City No. 1 People's Hospital Department of Endocrinology, chief physician Xiao Hua said that some patients did not aware of the harm it is diabetes, but also embarrassed to tell the doctor, ultimately affect their quality of life, and even in some cases, Naoqi a divorce. A 24-year-old patients with type Ⅰ diabetes mellitus, after 5 years of treatment, blood sugar has been relatively stable. But the young man and his wife after marriage was not harmonious, the original, boy often ED symptoms, new wife do not understand that he intends to snub himself, once the two sides also Naoqi a divorce. Later, after medical treatment, young man back to health, this year gave birth to a healthy child. Sexual dysfunction with exacerbations He noted that diabetic patients with sexual dysfunction symptoms of the disease increased gradually increasing. Patients had a normal sexual desire, ejaculation and there you can orgasm, only the symptoms of penile erection will not be strong. With the extension of duration of diabetes, can gradually develop into complete impotence. Why is diabetes associated with sexual dysfunction easy? This is due to high blood sugar can have a nerve polyol deposition, which can cause degeneration of nerve fibers lose their function. Peripheral nerve lesions can affect the feel of the penis, thereby reducing the penile erection response, such as the penis occurred on the autonomic nervous system damage, will enable the erectile tissue in the regulation of blood vessel out of control, so cavernous congestive can not be completed. In addition, diabetic patients prone to artery atherosclerotic plaque causes the arteries to narrow cavity, the penis will be in the capillary basement membrane thickening, which will cause the reduction of blood supply to be affected by erection. Diabetes also causes patients to reduce the level of sex hormones, thus affecting sexual function. Diabetes, 40% ~ 60% of patients with hypertension, while the majority of antihypertensive drugs can cause ED. According to statistics, about 1% ~ 2% in patients with diabetes will occur retrograde ejaculation, that is, an orgasm, when semen from the urethra outside the mouth are not fired, but a counter-current to the bladder, bladder neck with the patient's autonomic control damage to related to ejaculation, when the should be in closed state into an open bladder neck. Impotence can be a symptom of diabetes earlier, the doctor recommended a phenomenon should be related to erectile dysfunction diabetes checks. If confirmed to have diabetes should be actively treated, carefully controlled diet, regular application of hypoglycemic drugs. Diabetes under control, impotence symptoms can also be improved. Medication may be appropriate to improve the ED From the clinical point of view, regardless of type Ⅰ or type Ⅱ diabetes mellitus caused by decreased sexual function, are not organic disease, but functional obstacles. The reason is, there are physical factors, but also psychological effects. "ED caused by diabetes can be cured." Xiao-hua said that for diabetes caused by ED, can be treated from the following aspects: First, to conduct psychological adjustment, such as should overcome pessimism and establish a disease-fighting confidence; to eliminate anxiety and tension caused by emotional burden, from the spiritual to the physical should relax and maintain a good mood, all help to overcome obstacles, if necessary, should see a psychiatrist. Meanwhile, the active hypoglycemic antihypertensive treatment, as far as possible down to the normal range of blood pressure and blood sugar remains stable. In addition, the promotion of autonomic function may take some adjustment and improvement of microcirculation in the body of medicine. For the men, under the guidance of a doctor occasionally like to take Viagra for erection of medicine is also feasible. But need to note that diabetes complications in the risk of cardio-cerebral vascular diseases already much higher than normal, this kind of drugs to improve the prevalence of ED caused by angina, myocardial infarction, the risk of high blood pressure, etc., so diabetics to eat a normal amount of 1 / 2 to 1 / 3 on the list, Do not overdose. Diabetic person's sexual life, according to each person's circumstances, the condition of light, the age of light, the normal sexual desire, you can lead a normal sexual life, but restraint; condition heavier, and some of older, although of requirements, but less than the normal 2 / 3, but also a way to change the sex life, moderation. Not only to avoid the intense action of sexual intercourse, and sex life should be focused on areas caress. Female patients not to ignore the frigidity Xiao-hua said that many men suffering from diabetes, to see the doctor, the physical sexual dysfunction as a chief complaint of reasons, but women are seldom mentioned. Diabetes can cause cold female sexuality, genital itching, dry, painful intercourse and other symptoms, but in hospital, and are looking genital itching. For the sexual apathy, many female patients, or find it difficult to tell whether, or simply did not realize that this is an illness. In fact, women's sexual function problems diabetes can not be ignored, in addition to the lack of orgasm proportion of patients, some degree of female patients a slight decrease in vaginal lubrication, sensitivity to autonomic nerve damage to the vagina weaken, and prone to vaginal infections, leading to sexual intercourse pain. If the active treatment, their sexual dysfunction can also be improved quality of life will be improved.

After diabetes no "sex" Fun

Patients with diabetes, whether male or female sexual function, there may be obstacles. Men's sexual function including sexual desire, penile erection and ejaculation, in which dysfunction erectile function (in English referred to as ED) accounted for male sexual dysfunction in the majority, meaning that more than 25% of sexual intercourse, and can not achieve or maintain an erection sufficient time to to obtain a satisfactory sex life. According to statistics, the incidence of ED patients with diabetes is 35% ~ 75%, occurred earlier age than non-diabetic patients appear 10 to 15 years. For women with diabetes, although diabetic patients without a male sexual dysfunction obvious, frequent, but there are many patients showed orgasmic disorder, decreased sexual drive, vaginal secretions decrease menstrual abnormalities such as sexual dysfunction. Diabetic patients the reasons for sexual dysfunction and related performance Due to differences in sex, leading to its formation is also a cause of sexual dysfunction vary. Male Sexual Dysfunction Causes and clinical manifestations of With the extension of duration of diabetes, vascular endothelial cells in a wide range injury, nitric oxide functions to degrade, while smooth muscle structure, function, hemorheology and other changes can lead to a wide range of unique nerve, vascular diseases and smooth muscle lesions, especially small and medium blood vessels, peripheral neuropathy and autonomic neuropathy and different levels of endocrine changes, such as the decline in testosterone levels, elevated levels of plasma prolactin and androgen receptor in peripheral blood leukocytes decreased, the result of the biological effects of testosterone can not be fully expressed, resulting in the abnormal erectile function, there ED. The normal physiological penile erection requires adequate blood flow and nerve stimulation. Diabetic neuropathy often cause blood vessels, especially the medium and small blood vessels resulting from atherosclerosis, cavernous smooth muscle and blood vessels within the tension more nerve impulses and chemical substances subject to the impact of increased adrenergic nerve tension, autonomic nervous function barriers include not only the adrenergic nervous system, but also cholinergic nerve, acetylcholine synthesis has been damaged. Therefore, poor response to penile blood vessels, less blood flow into the penis, resulting in the occurrence and development of ED. As the duration of the extension of the deterioration of the central autonomic nervous system dysfunction, often add to the autonomic nervous system dysfunction in the penis, poor blood glucose control and diabetes complications in the presence of an aggravating the incidence of ED. Therefore, patients with diabetes vascular and neurological complications caused by ED seems to be a key issue, which is not surprising, because patients with a detailed analysis shows that: vascular and neurological disease in ED patients with diabetes accounted for 89%, 2 factors exist simultaneously accounted for 39%, vascular lesions may also be affected by other risk factors, such as, tobacco, alcohol consumption, high blood pressure. About 40% ~ 70% of diabetic patients with high blood pressure. At present six types of drugs in the treatment of hypertension, β-receptor blockers, calcium blockers, angiotensin-converting enzyme inhibitors, diuretics and angiotensin-receptor antagonist five will to a certain extent, produce the male patients with ED, only the α-receptor blockers in diabetic patients with less impact on erectile function, and may even have some beneficial effects. Another study found that more patients with diabetes exist neuropathy and psychological factors, and neuropathy and vascular disease is sometimes compared with ED caused by psychological disorder occurs less lesser extent, ED caused by psychological factors in diabetic patients is about 9% ~ 36%, while other patients may have mixed device quality, psychological factors exist. Further studies have shown that patients with type 2 diabetes, the incidence of ED caused by psychological factors, the rate of 28% in patients with type 1 diabetes accounts for 26%. In addition, many of the central nervous system drugs may directly affect the central nervous impulse, the release of inhibition of prolactin to inhibit sexual function. In addition to diabetes, there are 32% of diabetic patients with sexual dysfunction are male hormone, thyroid hormone, or prolactin exception. Female sexual dysfunction in patients with diabetes and clinical manifestations 70 early 20th century, some 18 to 42 of 125 cases of diabetes between the ages of female orgasm frequency of a 1-year study and compared with non-diabetic patients and found that diabetes, accounted for the lack of female orgasm 35%, non-diabetic were only 6%, and 44 cases of asexual orgasm 40 cases in the past who have had an orgasm, most patients suffering from diabetes in the emerging post-orgasmic disorder. For the following reasons: (1) orgasmic disorder and duration of diabetes have a close relationship with the patient's age, whether there are complications, no significant relationship; (2) women with diabetes psychological abnormalities: These patients may have loss of libido, painful intercourse and sexual wake-up power drops, vaginal fluid secretion accompanied by slow or insufficient, instinctive sexual desire, vaginal fluid secreted by the frequency and speed, genital excitement, orgasm and vaginal spasms, diabetes can occur in patients with vaginal fluid secretion in the two extremes, namely, inadequate secretion of or excessive, as compared with men, penile erection, women's physiological changes is the most direct vulvar and vaginal blood vessel congestion, which is vaginal secretion; (3) contrast with the other women with diabetes compared with autonomic neuropathy in the nature of genital excitement of life decline in the process of Central Africa, in the female patients with diabetes and her husband made a series of tests, such as sexual attraction, sexual awakening power, sex, control, sexual ability and general evaluation of the determination, these patients husband evaluation of their capabilities significantly. Some studies reported that 18 to 40-year-old woman with type 1 diabetes compared with non-diabetic women with vaginal plethysmograph testing when the television camera appears pornography and pornographic images of non-congestion of the vaginal capillaries showed that subject's own assessment of sexual awakening similar to the situation between the two groups, but by physiological measurements, vaginal pulse amplitude was significantly lower in the diabetic group; the other a study of 23 patients with type 2 diabetes, women's observations find that their sexual desire, orgasmic capacity, vaginal secretion and sexual activity are reduced , compared with the control group, found that good relationship with their spouse. Many studies have confirmed that the emergence of these problems had no significant relationship with diabetes complications, but duration of diabetes related. In addition, research from the psychology point of view, men with diabetes showed a noticeable compared to sexual dysfunction in this area less impact on women, its causes may be different from the role of sexual relations. Clinically, most women complain about lack of enjoyment, very few women complain about difficulties in vaginal secretion and sexual orgasm. However, diabetes associated with depression, sexual dysfunction seems to be rather common, clothing β-blockers, such as metoprolol, Concord, propranolol, after women with diabetes can be significantly inhibited sexual arousal. In general, diabetes mellitus on the impact of menstruation in female patients is not clear. However, there have been reports before the age of 10 diabetic patients whose disease may be delayed menarche, menstrual cycle disorders, women with diabetes with complications than those without complications, menstrual disorders more common. Menstrual disorders in adolescence with type 1 diabetes, the most common, and in poor blood glucose control and body mass index higher, see more obese patients, women of childbearing age with type 1 diabetes, reproductive disorders are more common. In addition, insulin requirements before and after menstruation may also be subject to change. Another reason for interfering with women's sex life is infected. Many factors make women with diabetes are vulnerable to infectious diseases, the most common vaginal Candida albicans infection, high blood sugar to a large extent contributed to the growth of Candida albicans. Therefore, many women with diabetes often genital itching chief complaint to seek treatment, because the persistence of this infection will naturally affect the sex life, research shows that women with diabetes, 77% in the vaginal secretions can be cultured from Candida albicans, and the the difficulties of those who treat women with diabetes is more prevalent, they place vaginal fungal infection were also far more than non-diabetic patients. Moreover, urinary tract infections are also common, particularly in poor glycemic control or the existence of autonomic neuropathy in patients with urinary tract infections can also affect the quality of sexual life. Diabetic sexual dysfunction risks Diabetic patients, especially younger men with diabetes, erectile dysfunction in patients, in large measure to reduce their self-confidence, an increase of depression, depression and even suicide may, for themselves, their family, social responsibility is obviously inadequate . A means of escape are often taken to deal with: either to concentrate on the cause of, or concentrate on playing to escape his wife to escape sex life. In this way, his wife's discontent with Japan will therefore increase, over time, will inevitably cause feelings of strange husband and wife, husband and wife relationship breakdown. Pairs of elderly men with diabetes families are the obstacles because of their sexual function can not meet the requirements of the wife arising from disharmony of family life. Due to gender differences, accompanied by sexual dysfunction in women with diabetes for themselves, their spouses, the impact on society than men, less significant, but also to a certain extent, affected their quality of life and family harmony and stability. Diabetes mellitus treatment of sexual dysfunction in patients 1. For sexual dysfunction in patients with diabetes, whether it is doctors, nurses, or patients themselves or their spouses, all should pay sufficient attention to overcome the traditional concept of shyness brought a sense of calm to face this disease exists, seek spouses the active support and cooperation with the medical staff work together to jointly overcome the disease. 2. To correct the cause can be corrected. Male diabetic patients with ED first thing to consider is to control blood sugar and avoid hypoglycemia, these measures help to improve the nervous system disease; early diagnosis and treatment of diabetic hypertensive patients to avoid the use of antihypertensive drugs may cause ED, etc.; another should quit alcohol limit. 3. Sex therapy: Sex therapist targeted through the guidance, a simple behavioral therapy can obtain good results. At the same time when the lifting of sexual anxiety, improve relationships with their sexual partners. 4. Hormone therapy: the existence of that had been detected significantly in patients with low levels of male hormones, it is necessary to supplement androgen; right associated with elevated plasma prolactin levels in patients may be bromocriptine treatment; for secondary hypogonadism patients can switch to clomiphene citrate to stimulate the hub to improve sexual function in patients. 5. Symptomatic treatment: In the above-mentioned treatment, based on the rational use of a certain amount of "Viagra" (Viagra), for improving the quality of sexual life in patients with definite help. 6. For women with diabetes because of their sexual sensitivity, sexual, psychological and other differences, and often the existence of the vagina, urinary tract infections, so that patients with impaired sexual function. Therefore, in addition to caring for his or her spouse, the need for psychological treatment, enhanced blood glucose control, cure urinary genital tract inflammation, will contribute to the improvement of sexual life.

Thursday, August 20, 2009

Postoperative intraocular pressure behind diabetes

A few days ago, a Chinese science and technology recommended by Press Institute, published in the "Chinese Medical Journal," the paper pointed out that the Beijing Union Medical College Hospital Eye Doctor Chao Wei Jing studies have shown that patients after vitreoretinal surgery, intraocular pressure is a common complication, and diabetes may be important risk factors. It is understood that China's existing 40 million diabetics, of which 25% of varying degrees of diabetic retinopathy, vitreous and retina in need of surgery. Intraocular pressure is a common postoperative complication, and occurred in the early postoperative, 1 week to 2 weeks the most common, affecting the restoration of postoperative visual function. Analysis of intraocular pressure caused by the risk factors, prevention and treatment of conduct targeted to improve the quality of treatment in patients with an important role. Researchers in Beijing Union Medical College Hospital from June 2005 to June 2007 admitted vitreoretinal surgery 422 patients (a total of 446 eyes) were retrospectively analyzed the results found that surgery and 198 eyes of 446 eyes of diabetic retinopathy is , accounting for 44%; after two weeks, a total of 185 eyes with intraocular pressure occur, the occurrence rate of 41 percent, of which 1 day post-operative intraocular pressure section 152, the occurrence rate of 34 percent, accounting for the early intraocular pressure 82%; surgery in gas-filled or silicone oil injection rate of intraocular pressure (respectively 53% and 55%) than those who simply vitrectomy (19%). Researchers that the high intraocular pressure after surgery occurred mainly in the early postoperative risk factors for diabetes, the treatment of gas-filled, silicone oil treatment, combined with laser therapy. The researchers pointed out that the above results suggest that diabetic retinopathy is a high incidence in the surgical treatment of ocular hypertension prone to the risk of disease.

Attention! Diabetes have a new "three high"

The incidence of complications of diabetes is extremely high morbidity and mortality rates are very high. Blindness, amputations ... ... these terrible disability, fatal complications are closely related to a disease, it is diabetes. China-Japan Friendship Hospital of Endocrinology, LI Guang-wei, director of a few days ago in an interview with reporters said of diabetes superficial, but very serious harm. Studies have shown that the incidence of diabetes after 10 years, 30% -40% of patients with at least a complication occurs. Therefore, be sure to guard against "the scourge of diabetes." Experts, diabetes is due to insulin secretion and (or) the role of defects in glucose-induced increase in metabolic diseases characterized. As long as blood sugar control, diabetes can be life-long ill patients survive. However, the most horrible thing is that the incidence of complications of diabetes is extremely high morbidity and mortality rates are very high. Complications of diabetes at two major categories of acute and chronic. Among them, acute complications, including diabetic ketoacidosis, diabetes, such as lactic acidosis; chronic complications including diabetic retinopathy and blindness, diabetes, renal disease (leading to severe renal failure), diabetic foot (leading to serious amputation), large vascular disease (leading to severe myocardial infarction, cerebrovascular disease) and so on. Clinical statistics show that 40% -50% of diabetic patients after 10 years in the incidence of retinopathy occurred; about 2% of patients after 15 years in the incidence of total blindness; 5% -10% of patients with the disease 20 years after the end of the deteriorating into end-stage renal disease. China-Japan Friendship Hospital Endocrinology reception each year with diabetes for more than 40,000 people, some patients with the tragedy of his heart. A 18-year-old foreign girls who died of type Ⅱ diabetes treatment, one expert suggested that her insulin injection therapy. The father of girls afraid of addiction refused insulin injections. 3 years later, experts see the girls again, the blind father, she was using a stickRoad. There is one more than 50-year-old Beijing residents with diabetes 15 years, and usually do not care, not the law of medicine. On one occasion, hefeet when his right foot, and later wound infection, ulceration. He thought to keep the lives of amputees, did not expect, amputation 3 years after the sudden death of a myocardial infarction. " 'The scourge of diabetes' startling, urgent need to strengthen prevention." Expert cautioned that in all earnestness. This reporter has learned that diabetes mellitus by the Chinese Medical Association completed credits will be the latest epidemiological survey of diabetes in China: At present, in China's urban population, with diabetes, about 41 million people, than the International Diabetes Federation estimated that in 2003 the 39.8 million people more than 100 million people. In addition, 14 provinces and cities across the country for nearly 50,000 people found in the 20-year-old -70 year-old population, the incidence of diabetes than men 12 percent, than women and the incidence of the total population are higher than about 2 %. Young men become the main force of diabetes groups. In order to effectively deal with rapid increase in diabetes incidence trends and younger, by the Ministry of Health and other departments to launch the "China plans to stimulate the dissemination of health knowledge" will be the subject of publicity in 2008 identified as "diabetic." Ministry of Health for disease prevention and control of Ganoderma lucidum, Deputy Secretary-hole said that in the past year, doctors, patients and the media take advantage of this common platform, in advocacy, prevention and treatment of diabetes knowledge universal and achieved marked results.