As we all know, diabetes is the major diseases affecting human health. It also can affect all aspects of human sexuality, or the main reason for the male erectile dysfunction. However, people tend to ignore the diabetes can lead to female sexual dysfunction. Currently considered female sexual dysfunction caused by diabetes, the primary mechanism for the following several factors. Can lead to diabetes female sexual dysfunction in a number of factors
Depression
British medical experts found: female incidence of depression is twice as many men, women with diabetes incidence rate as high as 21.9%. In addition, intermittent or persistent high blood sugar can also cause depression. Most of the fragility of women's sexuality that even with a slight depression can also lead to loss of libido. Therefore, if diabetes does not control well, it could cause or combined depression and then developed into a sexual dysfunction. Thus, in the treatment of diabetes in women's sexual dysfunction, control of blood glucose and treatment of depression should be the same time.
The risk of infection
High blood sugar makes women prone to vaginal fungal infection. Vaginitis can impede access to sexual arousal and will eventually undermine the ability to orgasm. In addition, inflammation can also cause vaginal dryness Er Shi spouse feeling unwell, and prevent the sexual experience for both sides. Damage caused by sexual intercourse vaginal dryness can be caused by repeated cystitis and recurrent bladder infections will bring sexual intercourse discomfort.
Hypoglycemia
Arousal, sexual prelude to intercourse and orgasm are the need to consume energy activities. American Diabetes experts study found, according to the duration of sexual activity, sexual response and orgasm of duplication, some need to consume 600 kcal of energy. Onset of sexual activity, if it is normal to low blood glucose, or the body does not store enough extra energy, then the tension of sexual activity may cause low blood sugar. Low blood sugar not only affects the sex life, but also to the body caused by injury, serious or even life-threatening.
Obesity and posture problems
Media campaigns to ensure that women's own image standard very confusing. Women of all ages in our society are all very concerned about weight and diet. If obesity and self-image can interfere with sexual desire and sexual feelings, then it can be said, in some cases of type 2 diabetes so that pieces of the incidence of dysfunction become high. 1 may be related to sexual dysfunction related issue is the pulmonary dysfunction. In type 2 diabetes among women with more severe degree of obesity, the worse the physical endurance to achieve orgasm needed for the state's ability to cardiovascular worse. Reduction of body weight can not only improve blood sugar and blood pressure, thereby improving insulin resistance and diabetes, women's lung function can improve.
PMS
Although premenstrual syndrome is not common for women with diabetes, but the menstrual cycle in the luteal phase (from ovulation to the start of the next menstruation) to affect blood sugar levels. Blood sugar is too high or too low will affect sexual function. Therefore, in the luteal phase requires close monitoring of glucose levels to minimize the impact on blood sugar.
High blood pressure and cardiovascular disease
We already know that there are several anti-hypertension drugs can lead to male erectile dysfunction. However, diabetic women with hypertension, a similar situation has not attracted widespread attention. Response in the clinical observation of the process of taking all medications the patient for testing. Typically, women with type 2 diabetes, apart from taking the drug beyond the treatment of diabetes need to take a large number of other drugs. In addition, clinical observation of the process should also pay attention to their situation in cardiac function. A sexual climax when the systolic blood pressure, diastolic and mean arterial pressure will increase. Therefore, the need for sexual activity due to increased blood pressure and rapid assessment of the risks, and then choose to take does not affect the sexual function of the antihypertensive drugs.
The status of the retina
For all diabetic patients need to check their technical routine eye conditions, especially for the same time, sexual dysfunction associated with diabetes and hypertension in women, have become essential. Ophthalmologist prohibited retinal disease in some patients with moderate sports activities, because it would intraocular pressure. Sexual activity can increase the cardiovascular system, oxygen consumption and tension. Therefore, we should assess the status of the retina, and prompt treatment of any of its exceptions, must also therapy and blood pressure related to a number of anomalies and sexual dysfunction.
Menopause
Women's sexuality and sexual impulses directly to the body's hormonal balance. In the normal menstrual cycle, sex hormones (including testosterone and progesterone) for improving the mood and feeling is essential to maintain health. Menopause is defined as cessation of menstruation more than 6 months. Because of postmenopausal estrogen caused by the ratio of male hormone imbalance, it could lead to loss of libido.
Reduction in hormone levels may be their first performance in the reduction of insulin requirements, so pre-menopausal women who may reproduce the symptoms of low blood sugar. If this happens, you need to adjust the insulin dose. As soon as possible in the early post-menopausal hormone replacement therapy is beneficial. For each woman is concerned that if they want to make estrogen and androgen hormones on the ratio of optimum level, and often need to be an ideal prescription to re-establish a healthy state.
Wednesday, September 16, 2009
Vardenafil will make revival of Friends of ED sugar
A past study showed that people with type 2 diabetes and heart disease or high blood pressure male 5-year incidence of ED than those without type 2 diabetes and heart disease and hypertension in men, but the incidence of ED increases with age. Currently in Shanghai, Beijing, Guangzhou and other big cities diabetes prevalence rate has reached about 8%. According to International Diabetes Federation (IDF) estimates that there will be emerging in China each year 1.01 million patients with diabetes, to 2025, China will have 59.3 million diabetics.
A study in 2003 showed that more than 50% of diabetic patients will occur in the next 10 years, ED. Microangiopathy of diabetes can occur in almost all parts of the body, such as diabetic nephropathy, diabetic retinopathy, diabetic neuropathy and diabetic cardiomyopathy and so on. For men, diabetic patients, ED is the occurrence of a result of these microvascular disease. Therefore, ED as an early indication of men with diabetes, one of the unique.
A past study showed that people with type 2 diabetes and heart disease or high blood pressure male 5-year incidence of ED than those without type 2 diabetes and heart disease and hypertension in men, but the incidence of ED increases with age. Cologne, Germany, in 2000 a survey showed that 40 to 59 years old, diabetic patients and non-diabetic ED are the most significant difference in the incidence (P <0.0001). Another study, ED patients with diabetes a sensitive clinical manifestations, in the ED were men, 13% and 17% of patients and newly diagnosed diabetes.
With IIEF-EF score of measure, erectile function was abnormal: 22 ~ 25 minutes; mild to moderate abnormalities: 17 ~ 21 minutes; moderate Exception: 11 ~ 16 minutes; severely abnormal: "11 points. In 2003 a study showed that diabetic patients with ED on vardenafil in patients with treatment of 12 weeks, vardenafil 10 mg group and 20 mg groups compared with the placebo group the final IIEF-EF score increased significantly (17.1 points, 19.0 points for 12.6 points, P <0.0001). In the 12-week course of treatment, each patient's penis insertion success rate (SEP2) in the vardenafil 10 mg group, 61%, 20 mg group was 64%, while the placebo group was only 36% (P <0.0001 ); each case the success rate of patients with sexual intercourse (SEP3) in the 10 mg group, 49%, 20 mg group, 54%, placebo group was only 23% (P <0.0001); general assessment questionnaire (GAQ) showed that Vardenafil 20 mg, 10 mg and placebo groups in patients with erectile function improvement in the proportion of 72%, 57% and 13%, two-dose treatment group were significantly higher than the placebo group (P <0.0001) (Figure 2 ). The results show that vardenafil can improve diabetic patients with ED success rate of insertion of the penis, sexual intercourse success rate and an overall improvement in the rate of sexual life.
Past studies have shown, regardless of the level of HbA1c in patients with diabetes mellitus, vardenafil may alleviate the symptoms of ED, indicating vardenafil on erectile function improvement in the situation has nothing to do with blood sugar control.
Vardenafil Security
Type 6 Phosphodiesterase (PDE6) mainly in the retina, if the high selectivity for PDE6 will harm the retina, especially for patients with diabetes is more dangerous. Vardenafil is a highly selective type 5 phosphodiesterase (PDE5) inhibitors, the selectivity of PDE6 is low, security, better, but also more suitable for diabetic patients with ED. Vardenafil, Sildenafil and Tadalafil half the amount of potent inhibitor (IC50) Do as 0.7 nM, 6.6 nM and 9.4 nM, shows vardenafil on PDE5 inhibition effect of the strongest adverse reactions occurred the possibility of minimal.
Vardenafil Common adverse reactions include facial flushing, headache, stuffy nose, or rhinitis. In addition, studies have confirmed that vardenafil good cardiovascular safety, myocardial infarction and cardiac death rates were 0.4% and 0.05%, lower than sildenafil (0.8% and 0.23%) and tadalafil (1.2% and 0.3%).
A study in 2003 showed that more than 50% of diabetic patients will occur in the next 10 years, ED. Microangiopathy of diabetes can occur in almost all parts of the body, such as diabetic nephropathy, diabetic retinopathy, diabetic neuropathy and diabetic cardiomyopathy and so on. For men, diabetic patients, ED is the occurrence of a result of these microvascular disease. Therefore, ED as an early indication of men with diabetes, one of the unique.
A past study showed that people with type 2 diabetes and heart disease or high blood pressure male 5-year incidence of ED than those without type 2 diabetes and heart disease and hypertension in men, but the incidence of ED increases with age. Cologne, Germany, in 2000 a survey showed that 40 to 59 years old, diabetic patients and non-diabetic ED are the most significant difference in the incidence (P <0.0001). Another study, ED patients with diabetes a sensitive clinical manifestations, in the ED were men, 13% and 17% of patients and newly diagnosed diabetes.
With IIEF-EF score of measure, erectile function was abnormal: 22 ~ 25 minutes; mild to moderate abnormalities: 17 ~ 21 minutes; moderate Exception: 11 ~ 16 minutes; severely abnormal: "11 points. In 2003 a study showed that diabetic patients with ED on vardenafil in patients with treatment of 12 weeks, vardenafil 10 mg group and 20 mg groups compared with the placebo group the final IIEF-EF score increased significantly (17.1 points, 19.0 points for 12.6 points, P <0.0001). In the 12-week course of treatment, each patient's penis insertion success rate (SEP2) in the vardenafil 10 mg group, 61%, 20 mg group was 64%, while the placebo group was only 36% (P <0.0001 ); each case the success rate of patients with sexual intercourse (SEP3) in the 10 mg group, 49%, 20 mg group, 54%, placebo group was only 23% (P <0.0001); general assessment questionnaire (GAQ) showed that Vardenafil 20 mg, 10 mg and placebo groups in patients with erectile function improvement in the proportion of 72%, 57% and 13%, two-dose treatment group were significantly higher than the placebo group (P <0.0001) (Figure 2 ). The results show that vardenafil can improve diabetic patients with ED success rate of insertion of the penis, sexual intercourse success rate and an overall improvement in the rate of sexual life.
Past studies have shown, regardless of the level of HbA1c in patients with diabetes mellitus, vardenafil may alleviate the symptoms of ED, indicating vardenafil on erectile function improvement in the situation has nothing to do with blood sugar control.
Vardenafil Security
Type 6 Phosphodiesterase (PDE6) mainly in the retina, if the high selectivity for PDE6 will harm the retina, especially for patients with diabetes is more dangerous. Vardenafil is a highly selective type 5 phosphodiesterase (PDE5) inhibitors, the selectivity of PDE6 is low, security, better, but also more suitable for diabetic patients with ED. Vardenafil, Sildenafil and Tadalafil half the amount of potent inhibitor (IC50) Do as 0.7 nM, 6.6 nM and 9.4 nM, shows vardenafil on PDE5 inhibition effect of the strongest adverse reactions occurred the possibility of minimal.
Vardenafil Common adverse reactions include facial flushing, headache, stuffy nose, or rhinitis. In addition, studies have confirmed that vardenafil good cardiovascular safety, myocardial infarction and cardiac death rates were 0.4% and 0.05%, lower than sildenafil (0.8% and 0.23%) and tadalafil (1.2% and 0.3%).
Tuesday, September 15, 2009
Men shoule take care diabetes deprivation your sex life
As we all know diabetes can cause nerve damage, which will affect the disposal of the penis nerve caused by impotence, of course, cause the most common cause of impotence is not diabetes, but there are many middle-aged impotence may be caused by diabetes, many patients are clinically because of impotence and diabetes was found. Is the dominant visceral autonomic nervous activity. Diabetes high blood sugar can cause long-term autonomic lesions. Diabetic autonomic neuropathy in diabetic patients are also more common at present is the most common clinical control of cardiovascular, gastrointestinal and urinary, reproductive system, nervous diseases, of which the reproductive system neuropathy are more attracted everyone's attention, because this a lesion can cause sexual dysfunction. Diabetic autonomic neuropathy symptoms of complex and diverse, and sometimes even the experienced specialists can hardly be aware of these symptoms are caused by diabetic autonomic neuropathy of the. Autonomic neuropathy if early detection, prompt treatment, efficacy is better, would be difficult to cure.
Here, and tell you a true story. There was a middle-aged male patient to treatment, hum and haw only understand that he has a half-day look at impotence, the patient that there are problems but look at endocrine endocrine specialist out-patient. Found that patients with more body fat, asked detailed questions about medical history, suspecting that he was suffering from diabetes, and upon inspection found significantly higher blood glucose, which confirmed he was suffering from diabetes. Dominate the penis nerve lesions occur in the penis can lead to congestion and, therefore, should not an erection, and this is very possible for neuropathy caused by diabetes. The patients who were controlling blood sugar, the impotence symptoms gradually disappeared. Later, the patient gave me a story: It turned out that the patient is also a friend of impotence, the patient told him that he might have diabetes, suggested that he go to hospital. Examination confirmed that his friend was indeed suffering from diabetes. Good blood sugar control, the friend's impotence also learned better. Thus, there are many middle-aged impotence may be caused by diabetes, many patients with clinically because of impotence and diabetes was found. Of course, the most common cause of impotence caused by diabetes is not. In addition, diabetes can cause decreased sexual function of women, its causes apart from autonomic neuropathy, may also be caused by vaginal secretions and diabetes lead to a decrease in the vaginal dryness.
So, diabetic autonomic neuropathy caused by impotence Can you help? The answer is yes. Early detection just to good blood glucose control, impotence symptoms will gradually improve, as the same as the above-mentioned two patients. Then, at a later stage, after a good blood glucose control still can not improve erectile dysfunction, how should I do? Studies have shown that some of the anti-impotence drug for impotence caused by diabetic autonomic neuropathy and effective. But in taking these drugs there are many taboos and precautions, so be careful to take. In addition, it is best to the hospital for treatment, can also be combined with some other drugs (such as nutrition, nerve drugs) to increase the efficacy of treatment. If, after a variety of therapeutic measures, efficacy is still not good, can be applied to surgical treatment, but the decision by the urologists. Of course, the early detection of diabetes is the best treatment.
Female sexual dysfunction caused by diabetes decline can be partially applied lubricant. It should be noted that the decline in sexual function caused by diabetes, hormone use is not necessarily a good effect, because patients do not lack of sex hormones.
The second type of diabetic autonomic neuropathy is a gastrointestinal autonomic neuropathy. The main manifestations of early decline in gastrointestinal function, such as abdominal distension, poor appetite; later manifested as intestinal disorders, such as constipation or diarrhea. Abdominal distension and some time can be applied to domperidone for gastric motility drug, can also be applied to promote digestion of some drugs. Constipation can be applied to cisapride to promote bowel movements, but also add some laxatives. The treatment of diarrhea the most difficult, here temporarily described.
The third type of diabetic autonomic neuropathy cardiovascular autonomic neuropathy, can cause orthostatic hypotension and heart rate to speed up or slow down. The main symptoms of orthostatic hypotension as follows: patients often lie down or squat and dizziness after standing, and some may even be faint, especially in patients with hypertension in the application of antihypertensive drugs will easily occur, and should be pay attention . Patients should pay attention to in their daily lives to prevent, the time try not to squat too long to be slowly after lying or squatting got up and escorted to certain objects can get up even better.
In addition, diabetic cardiovascular autonomic neuropathy with coronary heart disease, either angina or myocardial infarction, the majority had no chest pain, the patient should be regularly checked electrocardiogram, strive for early detection of coronary heart disease, early treatment to prevent coronary heart disease increase the do not know . We often encountered in clinical myocardial infarction in diabetic patients without chest pain, these patients are usually more severe myocardial infarction, myocardial infarction have a lot of shock and heart failure, high mortality rate. Therefore hope that the patient attention to the prevention, do not think that there is no chest pain, coronary heart disease would not be delayed by illness.
Here, and tell you a true story. There was a middle-aged male patient to treatment, hum and haw only understand that he has a half-day look at impotence, the patient that there are problems but look at endocrine endocrine specialist out-patient. Found that patients with more body fat, asked detailed questions about medical history, suspecting that he was suffering from diabetes, and upon inspection found significantly higher blood glucose, which confirmed he was suffering from diabetes. Dominate the penis nerve lesions occur in the penis can lead to congestion and, therefore, should not an erection, and this is very possible for neuropathy caused by diabetes. The patients who were controlling blood sugar, the impotence symptoms gradually disappeared. Later, the patient gave me a story: It turned out that the patient is also a friend of impotence, the patient told him that he might have diabetes, suggested that he go to hospital. Examination confirmed that his friend was indeed suffering from diabetes. Good blood sugar control, the friend's impotence also learned better. Thus, there are many middle-aged impotence may be caused by diabetes, many patients with clinically because of impotence and diabetes was found. Of course, the most common cause of impotence caused by diabetes is not. In addition, diabetes can cause decreased sexual function of women, its causes apart from autonomic neuropathy, may also be caused by vaginal secretions and diabetes lead to a decrease in the vaginal dryness.
So, diabetic autonomic neuropathy caused by impotence Can you help? The answer is yes. Early detection just to good blood glucose control, impotence symptoms will gradually improve, as the same as the above-mentioned two patients. Then, at a later stage, after a good blood glucose control still can not improve erectile dysfunction, how should I do? Studies have shown that some of the anti-impotence drug for impotence caused by diabetic autonomic neuropathy and effective. But in taking these drugs there are many taboos and precautions, so be careful to take. In addition, it is best to the hospital for treatment, can also be combined with some other drugs (such as nutrition, nerve drugs) to increase the efficacy of treatment. If, after a variety of therapeutic measures, efficacy is still not good, can be applied to surgical treatment, but the decision by the urologists. Of course, the early detection of diabetes is the best treatment.
Female sexual dysfunction caused by diabetes decline can be partially applied lubricant. It should be noted that the decline in sexual function caused by diabetes, hormone use is not necessarily a good effect, because patients do not lack of sex hormones.
The second type of diabetic autonomic neuropathy is a gastrointestinal autonomic neuropathy. The main manifestations of early decline in gastrointestinal function, such as abdominal distension, poor appetite; later manifested as intestinal disorders, such as constipation or diarrhea. Abdominal distension and some time can be applied to domperidone for gastric motility drug, can also be applied to promote digestion of some drugs. Constipation can be applied to cisapride to promote bowel movements, but also add some laxatives. The treatment of diarrhea the most difficult, here temporarily described.
The third type of diabetic autonomic neuropathy cardiovascular autonomic neuropathy, can cause orthostatic hypotension and heart rate to speed up or slow down. The main symptoms of orthostatic hypotension as follows: patients often lie down or squat and dizziness after standing, and some may even be faint, especially in patients with hypertension in the application of antihypertensive drugs will easily occur, and should be pay attention . Patients should pay attention to in their daily lives to prevent, the time try not to squat too long to be slowly after lying or squatting got up and escorted to certain objects can get up even better.
In addition, diabetic cardiovascular autonomic neuropathy with coronary heart disease, either angina or myocardial infarction, the majority had no chest pain, the patient should be regularly checked electrocardiogram, strive for early detection of coronary heart disease, early treatment to prevent coronary heart disease increase the do not know . We often encountered in clinical myocardial infarction in diabetic patients without chest pain, these patients are usually more severe myocardial infarction, myocardial infarction have a lot of shock and heart failure, high mortality rate. Therefore hope that the patient attention to the prevention, do not think that there is no chest pain, coronary heart disease would not be delayed by illness.
Diabetes of the older men should be vigilant ED
Statistics show that: 50% of diabetes patients took place 10 years after onset ED, while 12% of patients because of ED was found when treatment of diabetes. Mainland China of more than one pairs of male patients in the 6700 survey indicated that the prevalence of ED patients with diabetes as high as 78%, but the treatment rate is only about 18%. Beijing Union Medical College Hospital urology chief physician Professor Li Hongjun today reminded, elderly men with diabetes should be vigilant against ED (erectile dysfunction) and the occurrence and health effects, timely screening, treatment of diabetic complications.
Professor Lee held here in Beijing in diabetic patients in community clubs to set up the ceremony, points out that diabetes is often "quietly to" more than half of patients did not found that "more than three a little" (polydipsia, food, polyuria, and weight loss) and typical symptoms, but only rushed for medical treatment of complications; pairs of male patients to be extra vigilant for the complications is the ED.
He said, ED and diabetes are all small vessel disease, high blood sugar and blood lipids in patients with disorders of the troubled, the nerves and blood vessels prone to disease, damage to erectile function naturally.
Statistics show that: 50% of diabetes patients took place 10 years after onset ED, while 12% of patients because of ED was found when treatment of diabetes. Mainland China of more than one pairs of male patients in the 6700 survey indicated that the prevalence of ED patients with diabetes as high as 78%, but the treatment rate is only about 18%.
To this end, Li Hongjun suggested that middle-aged men to be alert, or if the ED on the timely treatment, so as to avoid delay in the diagnosis of diabetes and other chronic diseases and treatment. He proposed that the choice of treatment Levitra ED drugs such as first-line oral therapy, but it must be taken under the guidance of a doctor; seriously have to undergo surgery, and so second-line treatment; while also appropriate psychological adjustment, to eliminate anxiety and tension caused by mental burden to maintain pleasant mood.
Today, the club was established in Beijing with diabetes to implement the "community health hut," one of the project. "Community health hut" is the primary health care sector to address the public "a doctor is difficult" and explore the establishment of a new model of chronic disease management. The aim is to allow the residents within the local community can get chronic diseases including consulting, prevention, screening, diagnosis, treatment, rehabilitation, including a full range of medical services.
It is understood that before December of this year, Beijing will be the entire city's permanent residents and more than half a year living in Beijing permanent residents of the health survey and the establishment of related health archiving.
Professor Lee held here in Beijing in diabetic patients in community clubs to set up the ceremony, points out that diabetes is often "quietly to" more than half of patients did not found that "more than three a little" (polydipsia, food, polyuria, and weight loss) and typical symptoms, but only rushed for medical treatment of complications; pairs of male patients to be extra vigilant for the complications is the ED.
He said, ED and diabetes are all small vessel disease, high blood sugar and blood lipids in patients with disorders of the troubled, the nerves and blood vessels prone to disease, damage to erectile function naturally.
Statistics show that: 50% of diabetes patients took place 10 years after onset ED, while 12% of patients because of ED was found when treatment of diabetes. Mainland China of more than one pairs of male patients in the 6700 survey indicated that the prevalence of ED patients with diabetes as high as 78%, but the treatment rate is only about 18%.
To this end, Li Hongjun suggested that middle-aged men to be alert, or if the ED on the timely treatment, so as to avoid delay in the diagnosis of diabetes and other chronic diseases and treatment. He proposed that the choice of treatment Levitra ED drugs such as first-line oral therapy, but it must be taken under the guidance of a doctor; seriously have to undergo surgery, and so second-line treatment; while also appropriate psychological adjustment, to eliminate anxiety and tension caused by mental burden to maintain pleasant mood.
Today, the club was established in Beijing with diabetes to implement the "community health hut," one of the project. "Community health hut" is the primary health care sector to address the public "a doctor is difficult" and explore the establishment of a new model of chronic disease management. The aim is to allow the residents within the local community can get chronic diseases including consulting, prevention, screening, diagnosis, treatment, rehabilitation, including a full range of medical services.
It is understood that before December of this year, Beijing will be the entire city's permanent residents and more than half a year living in Beijing permanent residents of the health survey and the establishment of related health archiving.
Monday, September 14, 2009
Half of 10 years diabetes are Friends of ED
Diabetes and ED are highly correlated. Diabetes by affecting multiple systems such as the autonomic nervous system, peripheral vascular system, and (sometimes) the spirit of the nervous system to affect erectile function. Survey shows that high blood pressure and heart disease patients, significantly impaired sexual function in ischemic heart disease have had over 60 patients, ED prevalence rate of 59%, while the same age group was 35% normal.
Third Affiliated Hospital, Sun Yat-sen associate professor, said Zhang Bin, such as cardiovascular disease, high blood pressure patients will have their own blood flow, arteriosclerosis, hardening of the arteries in particular, the phenomenon of tiny penis erection that is to rely on sponge inside the tiny blood vessels, Therefore, these men with sexual dysfunction in patients with relatively high. Men with diabetes are at high risk of sexual dysfunction, Zhang says, diabetes, vascular neuropathy, men inside the corpus cavernosum smooth muscle and fiber have a certain proportion of vascular disease occurs, it will affect the function of nerve conduction, blood vessels expand, blood flow reduced, causing reduction of cavernous smooth muscle, leading to sexual dysfunction. The current trend of diabetes at a younger age, if a young age appeared erectile dysfunction, after excluding psychological reasons, in the male out-patient clinics, the doctor will generally ask the patient to check blood sugar, once diagnosed with diabetes, diet control and drug treatment in the foundation on the use of some drugs vessel function expansion.
Diabetes and ED are highly correlated. Diabetes by affecting multiple systems such as the autonomic nervous system, peripheral vascular system, and (sometimes) the spirit of the nervous system to affect erectile function. Experts say the prevalence of diabetic ED is high in diabetic patients in the ED-year prevalence rate of 68 cases per thousand, is 2 times the normal population, people diagnosed with diabetes, 10 years, the possibility of occurrence ED is 50%. ED occurred in the prevalence and severity of diabetes age, disease duration, diabetes type, glycemic control conditions, diabetic neuropathy, diabetic nephropathy and high blood pressure and other factors are clearly related.
Third Affiliated Hospital, Sun Yat-sen associate professor, said Zhang Bin, such as cardiovascular disease, high blood pressure patients will have their own blood flow, arteriosclerosis, hardening of the arteries in particular, the phenomenon of tiny penis erection that is to rely on sponge inside the tiny blood vessels, Therefore, these men with sexual dysfunction in patients with relatively high. Men with diabetes are at high risk of sexual dysfunction, Zhang says, diabetes, vascular neuropathy, men inside the corpus cavernosum smooth muscle and fiber have a certain proportion of vascular disease occurs, it will affect the function of nerve conduction, blood vessels expand, blood flow reduced, causing reduction of cavernous smooth muscle, leading to sexual dysfunction. The current trend of diabetes at a younger age, if a young age appeared erectile dysfunction, after excluding psychological reasons, in the male out-patient clinics, the doctor will generally ask the patient to check blood sugar, once diagnosed with diabetes, diet control and drug treatment in the foundation on the use of some drugs vessel function expansion.
Diabetes and ED are highly correlated. Diabetes by affecting multiple systems such as the autonomic nervous system, peripheral vascular system, and (sometimes) the spirit of the nervous system to affect erectile function. Experts say the prevalence of diabetic ED is high in diabetic patients in the ED-year prevalence rate of 68 cases per thousand, is 2 times the normal population, people diagnosed with diabetes, 10 years, the possibility of occurrence ED is 50%. ED occurred in the prevalence and severity of diabetes age, disease duration, diabetes type, glycemic control conditions, diabetic neuropathy, diabetic nephropathy and high blood pressure and other factors are clearly related.
Do not let diabetes take away a man's "sex" life
Andrology Center, Peking University Professor Zhang Zhichao introduction, diabetes and sexual dysfunction closely related to male sexual health, diabetes is a "stealth killer," diabetes can cause ED (erectile dysfunction), in turn, diabetes, ED is often a "warning signal." In order to improve the health of society as a whole degree of concern for men. June 24 Peking University Hospital, Andrology Center has initiated the theme "concerned about the diabetes caused by male sexual dysfunction," the volunteer team activities, Andrology Center, Professor Zhong Cheng Xin, deputy director, Professor Zhang Zhichao and some other experts came into being.
Andrology Center, Peking University Professor Zhang Zhichao introduction, diabetes and sexual dysfunction closely related to male sexual health, diabetes is a "stealth killer," diabetes can cause ED (erectile dysfunction), in turn, diabetes, ED is often a "warning signal." Abroad data show that diabetes is the most common organic cause of ED, compared with the general population, diabetic patients more susceptible to early-onset ED, more than 50% of people with diabetes 10 years occurred in the incidence of ED, 12% of patients Because ED treatment when discovered diabetes.
To this end, Zhang called on the elderly with diabetes should pay attention to their sexual function, if the event of ED as soon as possible to the hospital for treatment. Meanwhile, his old friend If you find a problem with sexual function, we must heighten our vigilance and timely to the hospital for treatment, blood glucose and other necessary checks to screen whether there is the possibility of diabetes. Elderly male diabetic patients with ED, it should be the law of treatment of diabetes in the active treatment on the basis of ED, is currently widely used in clinical Levitra and other PDE5 inhibitors, is recognized internationally as an effective ED treatment drugs, under the guidance of a doctor through these drugs can significantly improve sexual function in these patients.
It is understood that men and Section Center of Beijing University since July 22, 2005 has been formally established, it has already organized more than ten years of volunteer team activities. Peking University Center for Andrology, China's leading urology experts, Ying-Lu Guo academician, said Peking University Men's Center has a national first-class medical personnel and inspection equipment, the Center adhere to the principle of serving the people, all medical expenses are taken into account the capacity of ordinary people. In order to reduce the financial burden on patients, the center is also holding a variety of topics from time to time volunteer team activities, the purpose is to guide patients into formal medical institution for treatment.
Andrology Center, Peking University Professor Zhang Zhichao introduction, diabetes and sexual dysfunction closely related to male sexual health, diabetes is a "stealth killer," diabetes can cause ED (erectile dysfunction), in turn, diabetes, ED is often a "warning signal." Abroad data show that diabetes is the most common organic cause of ED, compared with the general population, diabetic patients more susceptible to early-onset ED, more than 50% of people with diabetes 10 years occurred in the incidence of ED, 12% of patients Because ED treatment when discovered diabetes.
To this end, Zhang called on the elderly with diabetes should pay attention to their sexual function, if the event of ED as soon as possible to the hospital for treatment. Meanwhile, his old friend If you find a problem with sexual function, we must heighten our vigilance and timely to the hospital for treatment, blood glucose and other necessary checks to screen whether there is the possibility of diabetes. Elderly male diabetic patients with ED, it should be the law of treatment of diabetes in the active treatment on the basis of ED, is currently widely used in clinical Levitra and other PDE5 inhibitors, is recognized internationally as an effective ED treatment drugs, under the guidance of a doctor through these drugs can significantly improve sexual function in these patients.
It is understood that men and Section Center of Beijing University since July 22, 2005 has been formally established, it has already organized more than ten years of volunteer team activities. Peking University Center for Andrology, China's leading urology experts, Ying-Lu Guo academician, said Peking University Men's Center has a national first-class medical personnel and inspection equipment, the Center adhere to the principle of serving the people, all medical expenses are taken into account the capacity of ordinary people. In order to reduce the financial burden on patients, the center is also holding a variety of topics from time to time volunteer team activities, the purpose is to guide patients into formal medical institution for treatment.
Sunday, September 13, 2009
Why not fine shot diabetes?
Orgasm clearly hit a fine but not semen outflow, such a situation for 10 diabetics 9 panic, not knowing what they got ill. People's Liberation Army 306 Hospital, vice president of the Diabetes Center Director Xu Zhang Rong Zhuren physicians about the reason of which remind men with diabetes, if there is such a sudden change, we must look at a timely manner, or diabetes specialist urology.
This apparent non-ejaculation is not in itself an impediment to ejaculate, but lead to diabetes, vascular disease, resulting in barriers of Nutrition, affecting launch ejaculation control nerve, which is one of the complications of diabetes. Sexual life during the urethral wall pressure due to a corresponding increase, semen from the urethra should be fired, but the event of such complications, the patient bladder neck smooth muscle weakness, bladder outlet discharge of semen found in the spacious "back door", injection The semen on along the "back door" retrograde rushed into the bladder where.
Ejaculation retrograde ejaculation and non-diabetics the most fundamental difference between the surface while not, but this is totally different, so long as to do a urine test, you can find out what causes retrograde ejaculation. In addition, patients with bladder inside the semen will be excreted in the urine does not pose a hazard to the body. As long as the patient through the effective control of blood sugar, it can be restored. To tie in with medical care, we must eliminate anxiety and psychological tension, because tension and anxiety will increase the burden of damaged nerves, more is not conducive to disease control.
By the strict blood sugar control, reduce and eliminate the high blood glucose on nerve damage, so that people with diabetes have been restored to normal ejaculatory function, which fixes the "front door", effective drug treatment can increase the contraction of bladder neck capability to meet the effective off " the back door "to prevent semen reflux. If medications are ineffective, the doctor will recommend the patient, choose the bladder neck reconstructive surgery to increase bladder neck resistance, so that antegrade semen discharge from the urethra
This apparent non-ejaculation is not in itself an impediment to ejaculate, but lead to diabetes, vascular disease, resulting in barriers of Nutrition, affecting launch ejaculation control nerve, which is one of the complications of diabetes. Sexual life during the urethral wall pressure due to a corresponding increase, semen from the urethra should be fired, but the event of such complications, the patient bladder neck smooth muscle weakness, bladder outlet discharge of semen found in the spacious "back door", injection The semen on along the "back door" retrograde rushed into the bladder where.
Ejaculation retrograde ejaculation and non-diabetics the most fundamental difference between the surface while not, but this is totally different, so long as to do a urine test, you can find out what causes retrograde ejaculation. In addition, patients with bladder inside the semen will be excreted in the urine does not pose a hazard to the body. As long as the patient through the effective control of blood sugar, it can be restored. To tie in with medical care, we must eliminate anxiety and psychological tension, because tension and anxiety will increase the burden of damaged nerves, more is not conducive to disease control.
By the strict blood sugar control, reduce and eliminate the high blood glucose on nerve damage, so that people with diabetes have been restored to normal ejaculatory function, which fixes the "front door", effective drug treatment can increase the contraction of bladder neck capability to meet the effective off " the back door "to prevent semen reflux. If medications are ineffective, the doctor will recommend the patient, choose the bladder neck reconstructive surgery to increase bladder neck resistance, so that antegrade semen discharge from the urethra
Hong Kong Chinese University study that 27% of diabetic men have erectile dysfunction
Hong Kong's Wen Wei Po reported that men can not be an erection is not only impede the sexual life, if it is better to be careful in patients with diabetes suffer from heart disease. The Chinese University of Hong Kong study found that 27% of men with diabetes on sexual dysfunction, the risk of suffering from coronary heart disease, he walks very higher than 58%, more than no sexual dysfunction in patients with diabetes two times higher.
Doctors called on the event of a sexual dysfunction, do not buy on their own impotence drug, seek medical attention, and a heart examination.
Hong Kong is greater than from 1995 to 2005 to trace 2306 between Type II diabetic patients, average age 54.2 years, each with an average of 4 years. The results showed that: There were 26.7% (616 people) on sexual dysfunction, penile erection or can not be fully sustained erection. 5.3% (123 persons) in the study period, there are different degrees of heart disease, including surgery, coronary artery embolism caused by angina.
Research and then age, hypertension, smoking and other risk factors for analysis and found that sexual dysfunction occurs in patients with diabetes, the risk of suffering from coronary heart disease than 58%. Per 1000 men with sexual dysfunction, diabetes patients, 19.7 people have different degrees of heart disease, sexual dysfunction than men without diabetes patients, the opportunity to 2 times higher risk of coronary heart disease.
Zhongshan University, Department of Medicine and Therapeutics, Associate Professor Ma Qingyun explained that, diabetes, the body can damage blood vessels, cause kidney failure, amputation, blindness, sexual dysfunction and other complications, and Hong Kong have one for every 10 people with diabetes, more than 25% of 65 years of age.
Tong Chun, an associate professor in the industry says, there have been 43-year-old male patient does not comply with the instructions diet and medication on time, in the first 10 years of suffering from diabetes, there do not move, 5, 6 years after surgery should be.
TANG Jun industry said, if there is sexual dysfunction should seek medical attention, and a heart examination, diabetic patients should be strict control of blood sugar, blood pressure, cholesterol and body weight and prevent deterioration. The patients take their own to buy impotence drug is very dangerous, because diabetes drugs will lead to mixed-impotence drug to take very low blood sugar, heart disease, taking medicine mixed aphrodisiac put the blood pressure to a low level, severe cases may be fatal.
Doctors called on the event of a sexual dysfunction, do not buy on their own impotence drug, seek medical attention, and a heart examination.
Hong Kong is greater than from 1995 to 2005 to trace 2306 between Type II diabetic patients, average age 54.2 years, each with an average of 4 years. The results showed that: There were 26.7% (616 people) on sexual dysfunction, penile erection or can not be fully sustained erection. 5.3% (123 persons) in the study period, there are different degrees of heart disease, including surgery, coronary artery embolism caused by angina.
Research and then age, hypertension, smoking and other risk factors for analysis and found that sexual dysfunction occurs in patients with diabetes, the risk of suffering from coronary heart disease than 58%. Per 1000 men with sexual dysfunction, diabetes patients, 19.7 people have different degrees of heart disease, sexual dysfunction than men without diabetes patients, the opportunity to 2 times higher risk of coronary heart disease.
Zhongshan University, Department of Medicine and Therapeutics, Associate Professor Ma Qingyun explained that, diabetes, the body can damage blood vessels, cause kidney failure, amputation, blindness, sexual dysfunction and other complications, and Hong Kong have one for every 10 people with diabetes, more than 25% of 65 years of age.
Tong Chun, an associate professor in the industry says, there have been 43-year-old male patient does not comply with the instructions diet and medication on time, in the first 10 years of suffering from diabetes, there do not move, 5, 6 years after surgery should be.
TANG Jun industry said, if there is sexual dysfunction should seek medical attention, and a heart examination, diabetic patients should be strict control of blood sugar, blood pressure, cholesterol and body weight and prevent deterioration. The patients take their own to buy impotence drug is very dangerous, because diabetes drugs will lead to mixed-impotence drug to take very low blood sugar, heart disease, taking medicine mixed aphrodisiac put the blood pressure to a low level, severe cases may be fatal.
Saturday, September 12, 2009
Diabetes can lead to female sexual dysfunction?
Diabetes is the major diseases affecting human health. It also can affect all aspects of human sexuality, or the main reason for the male erectile dysfunction. However, people tend to ignore the diabetes can lead to female sexual dysfunction. As we all know, diabetes is the major diseases affecting human health. It also can affect all aspects of human sexuality, or the main reason for the male erectile dysfunction. However, people tend to ignore the diabetes can lead to female sexual dysfunction. Currently considered female sexual dysfunction caused by diabetes, the primary mechanism for the following several factors.
Can lead to diabetes female sexual dysfunction in a number of factors
Depression
British medical experts found: female incidence of depression is twice as many men, women with diabetes incidence rate as high as 21.9%. In addition, intermittent or persistent high blood sugar can also cause depression. Most of the fragility of women's sexuality that even with a slight depression can also lead to loss of libido. Therefore, if diabetes does not control well, it could cause or combined depression and then developed into a sexual dysfunction. Thus, in the treatment of diabetes in women's sexual dysfunction, control of blood glucose and treatment of depression should be the same time.
The risk of infection
High blood sugar makes women prone to vaginal fungal infection. Vaginitis can impede access to sexual arousal and will eventually undermine the ability to orgasm. In addition, inflammation can also cause vaginal dryness Er Shi spouse feeling unwell, and prevent the sexual experience for both sides. Damage caused by sexual intercourse vaginal dryness can be caused by repeated cystitis and recurrent bladder infections will bring sexual intercourse discomfort.
Hypoglycemia
Arousal, sexual prelude to intercourse and orgasm are the need to consume energy activities. American Diabetes experts study found, according to the duration of sexual activity, sexual response and orgasm of duplication, some need to consume 600 kcal of energy. If the start of sexual activity is normal to low blood sugar or the body does not store enough extra energy, then the tension of sexual activity may cause low blood sugar. Low blood sugar not only affects the sex life, but also to the body caused by injury, serious or even life-threatening.
Obesity and posture problems
Media campaigns to ensure that women's own image standard very confusing. Women of all ages in our society are all very concerned about weight and diet. If obesity and self-image can interfere with sexual desire and sexual feelings, then it can be said, in some cases of type 2 diabetes so that pieces of the incidence of dysfunction become high. 1 may be related to sexual dysfunction related issue is the pulmonary dysfunction. In type 2 diabetes among women with more severe degree of obesity, the worse the physical endurance to achieve orgasm needed for the state's ability to cardiovascular worse. Reduction of body weight can not only improve blood sugar and blood pressure, thereby improving insulin resistance and diabetes, women's lung function can improve.
PMS
Although premenstrual syndrome is not common for women with diabetes, but the menstrual cycle in the luteal phase (from ovulation to the start of the next menstruation) to affect blood sugar levels. Blood sugar is too high or too low will affect sexual function. Therefore, in the luteal phase requires close monitoring of glucose levels to minimize the impact on blood sugar.
High blood pressure and cardiovascular disease
We already know that there are several anti-hypertension drugs can lead to male erectile dysfunction. However, diabetic women with hypertension, a similar situation has not attracted widespread attention. Response in the clinical observation of the process of taking all medications the patient for testing. Typically, women with type 2 diabetes, apart from taking the drug beyond the treatment of diabetes need to take a large number of other drugs. In addition, clinical observation of the process should also pay attention to their situation in cardiac function. A sexual climax when the systolic blood pressure, diastolic and mean arterial pressure will increase. Therefore, the need for sexual activity due to increased blood pressure and rapid assessment of the risks, and then choose to take does not affect the sexual function of the antihypertensive drugs.
The status of the retina
For all diabetic patients need to check their technical routine eye conditions, especially for the same time, sexual dysfunction associated with diabetes and hypertension in women, have become essential. Ophthalmologist prohibited retinal disease in some patients with moderate sports activities, because it would intraocular pressure. Sexual activity can increase the cardiovascular system, oxygen consumption and tension. Therefore, we should assess the status of the retina, and prompt treatment of any of its exceptions, must also therapy and blood pressure related to a number of anomalies and sexual dysfunction.
Menopause
Women's sexuality and sexual impulses directly to the body's hormonal balance. In the normal menstrual cycle, sex hormones (including testosterone and progesterone) for improving the mood and feeling is essential to maintain health. Menopause is defined as cessation of menstruation more than 6 months. Because of postmenopausal estrogen caused by the ratio of male hormone imbalance, it could lead to loss of libido.
Reduction in hormone levels may be their first performance in the reduction of insulin requirements, so pre-menopausal women who may reproduce the symptoms of low blood sugar. If this happens, you need to adjust the insulin dose. As soon as possible in the early post-menopausal hormone replacement therapy is beneficial. For each woman is concerned that if they want to make estrogen and androgen hormones on the ratio of optimum level, and often need to be an ideal prescription to re-establish a healthy state.
Neural factors
Diabetes can lead to systemic autonomic nerve function of disease, currently considered "central" of autonomic neuropathy becomes one of the causes of sexual dysfunction. Its causes, including metabolic, vascular, or a combination. Because vaginal sensory nerve lesions, can cause reduced sensitivity of the vagina, vaginal mucous membrane secretion decreased significantly lower degree of vaginal lubrication. These factors can lead to painful intercourse, decreased sexual desire and so on. In addition, the dominance of the parasympathetic pelvic longer, is also the most easily damaged autonomic nervous system, it may also cause damage to sexual dysfunction.
Diabetic Treatment of female sexual dysfunction
The first and most important thing is to learn more about the history and make the necessary medical examination. Medical history should include duration of symptoms, patients and their spouses of the psychological and social conditions, a single patient's medication details, emotions, depression levels, vaginitis, cystitis, and frequency of sexual intercourse and so on. Physical examination should include blood pressure, body mass index (BA41), retina, thyroid, cardiovascular and respiratory system, pelvic examination and leucorrhea situation. Laboratory examination should include blood sugar control over the situation, peri-menopausal period compared with the menopause, vaginal or urinary tract infections. Been proven to affect sexual function should stop taking the drug and switch to other drugs. And then should be the best way to treat high blood pressure, diabetes and retinopathy, and patients respond to appropriate guidance and training. According to check the problems found to decide how to treat sexual dysfunction. Should be supportive psychotherapy and the use of antidepressants. If necessary, should carry out appropriate hormone replacement therapy.
Throughout diabetic women at different stages of life and times of their sexual health are related to her physical, emotional and directly related to blood glucose levels. Although the monitoring of the patient's overall health status, including reach and maintain normal blood sugar is not included is a very easy thing to do, but for those with normal physical, mental and sexual health is essential.
Can lead to diabetes female sexual dysfunction in a number of factors
Depression
British medical experts found: female incidence of depression is twice as many men, women with diabetes incidence rate as high as 21.9%. In addition, intermittent or persistent high blood sugar can also cause depression. Most of the fragility of women's sexuality that even with a slight depression can also lead to loss of libido. Therefore, if diabetes does not control well, it could cause or combined depression and then developed into a sexual dysfunction. Thus, in the treatment of diabetes in women's sexual dysfunction, control of blood glucose and treatment of depression should be the same time.
The risk of infection
High blood sugar makes women prone to vaginal fungal infection. Vaginitis can impede access to sexual arousal and will eventually undermine the ability to orgasm. In addition, inflammation can also cause vaginal dryness Er Shi spouse feeling unwell, and prevent the sexual experience for both sides. Damage caused by sexual intercourse vaginal dryness can be caused by repeated cystitis and recurrent bladder infections will bring sexual intercourse discomfort.
Hypoglycemia
Arousal, sexual prelude to intercourse and orgasm are the need to consume energy activities. American Diabetes experts study found, according to the duration of sexual activity, sexual response and orgasm of duplication, some need to consume 600 kcal of energy. If the start of sexual activity is normal to low blood sugar or the body does not store enough extra energy, then the tension of sexual activity may cause low blood sugar. Low blood sugar not only affects the sex life, but also to the body caused by injury, serious or even life-threatening.
Obesity and posture problems
Media campaigns to ensure that women's own image standard very confusing. Women of all ages in our society are all very concerned about weight and diet. If obesity and self-image can interfere with sexual desire and sexual feelings, then it can be said, in some cases of type 2 diabetes so that pieces of the incidence of dysfunction become high. 1 may be related to sexual dysfunction related issue is the pulmonary dysfunction. In type 2 diabetes among women with more severe degree of obesity, the worse the physical endurance to achieve orgasm needed for the state's ability to cardiovascular worse. Reduction of body weight can not only improve blood sugar and blood pressure, thereby improving insulin resistance and diabetes, women's lung function can improve.
PMS
Although premenstrual syndrome is not common for women with diabetes, but the menstrual cycle in the luteal phase (from ovulation to the start of the next menstruation) to affect blood sugar levels. Blood sugar is too high or too low will affect sexual function. Therefore, in the luteal phase requires close monitoring of glucose levels to minimize the impact on blood sugar.
High blood pressure and cardiovascular disease
We already know that there are several anti-hypertension drugs can lead to male erectile dysfunction. However, diabetic women with hypertension, a similar situation has not attracted widespread attention. Response in the clinical observation of the process of taking all medications the patient for testing. Typically, women with type 2 diabetes, apart from taking the drug beyond the treatment of diabetes need to take a large number of other drugs. In addition, clinical observation of the process should also pay attention to their situation in cardiac function. A sexual climax when the systolic blood pressure, diastolic and mean arterial pressure will increase. Therefore, the need for sexual activity due to increased blood pressure and rapid assessment of the risks, and then choose to take does not affect the sexual function of the antihypertensive drugs.
The status of the retina
For all diabetic patients need to check their technical routine eye conditions, especially for the same time, sexual dysfunction associated with diabetes and hypertension in women, have become essential. Ophthalmologist prohibited retinal disease in some patients with moderate sports activities, because it would intraocular pressure. Sexual activity can increase the cardiovascular system, oxygen consumption and tension. Therefore, we should assess the status of the retina, and prompt treatment of any of its exceptions, must also therapy and blood pressure related to a number of anomalies and sexual dysfunction.
Menopause
Women's sexuality and sexual impulses directly to the body's hormonal balance. In the normal menstrual cycle, sex hormones (including testosterone and progesterone) for improving the mood and feeling is essential to maintain health. Menopause is defined as cessation of menstruation more than 6 months. Because of postmenopausal estrogen caused by the ratio of male hormone imbalance, it could lead to loss of libido.
Reduction in hormone levels may be their first performance in the reduction of insulin requirements, so pre-menopausal women who may reproduce the symptoms of low blood sugar. If this happens, you need to adjust the insulin dose. As soon as possible in the early post-menopausal hormone replacement therapy is beneficial. For each woman is concerned that if they want to make estrogen and androgen hormones on the ratio of optimum level, and often need to be an ideal prescription to re-establish a healthy state.
Neural factors
Diabetes can lead to systemic autonomic nerve function of disease, currently considered "central" of autonomic neuropathy becomes one of the causes of sexual dysfunction. Its causes, including metabolic, vascular, or a combination. Because vaginal sensory nerve lesions, can cause reduced sensitivity of the vagina, vaginal mucous membrane secretion decreased significantly lower degree of vaginal lubrication. These factors can lead to painful intercourse, decreased sexual desire and so on. In addition, the dominance of the parasympathetic pelvic longer, is also the most easily damaged autonomic nervous system, it may also cause damage to sexual dysfunction.
Diabetic Treatment of female sexual dysfunction
The first and most important thing is to learn more about the history and make the necessary medical examination. Medical history should include duration of symptoms, patients and their spouses of the psychological and social conditions, a single patient's medication details, emotions, depression levels, vaginitis, cystitis, and frequency of sexual intercourse and so on. Physical examination should include blood pressure, body mass index (BA41), retina, thyroid, cardiovascular and respiratory system, pelvic examination and leucorrhea situation. Laboratory examination should include blood sugar control over the situation, peri-menopausal period compared with the menopause, vaginal or urinary tract infections. Been proven to affect sexual function should stop taking the drug and switch to other drugs. And then should be the best way to treat high blood pressure, diabetes and retinopathy, and patients respond to appropriate guidance and training. According to check the problems found to decide how to treat sexual dysfunction. Should be supportive psychotherapy and the use of antidepressants. If necessary, should carry out appropriate hormone replacement therapy.
Throughout diabetic women at different stages of life and times of their sexual health are related to her physical, emotional and directly related to blood glucose levels. Although the monitoring of the patient's overall health status, including reach and maintain normal blood sugar is not included is a very easy thing to do, but for those with normal physical, mental and sexual health is essential.
Viagra: diabetes Friends of impotence latest "savior"
A recent study has shown that "Viagra", "Levitra" and "Cialis" It's three kinds of common market known as the "Viagra" drug, for those suffering from diabetes impotence at the same time with patients words, has a good efficacy of the treatment of impotence. Diabetes is currently one of the world's most common diseases, it is also leading to the most common causes of impotence. Studies have shown that men with diabetes compared with other men, there three times more likely to impotence. While at the same time, while patients with diabetic impotence treatment of impotence when the disease more difficult.
From Israel, a medical research organization, Dr. Mosa Valdis said his team started in 1998, aimed at patients suffering from diabetes impotence research. Through the above-mentioned three kinds of drugs and other drugs, comparative study confirmed that these three drugs can be more effective in treating impotence in patients with diabetes.
According to reports, Vivaldi and others have conducted more than eight pairs of tests showed that 976 to accept the above-mentioned three kinds of the same as "PDE-5" category, while drug treatment in patients with diabetic impotence, than accept the alternative drug treatment similar patients better.
From Israel, a medical research organization, Dr. Mosa Valdis said his team started in 1998, aimed at patients suffering from diabetes impotence research. Through the above-mentioned three kinds of drugs and other drugs, comparative study confirmed that these three drugs can be more effective in treating impotence in patients with diabetes.
According to reports, Vivaldi and others have conducted more than eight pairs of tests showed that 976 to accept the above-mentioned three kinds of the same as "PDE-5" category, while drug treatment in patients with diabetic impotence, than accept the alternative drug treatment similar patients better.
Friday, September 11, 2009
Care Diabetic sexual dysfunction
Many complications of diabetes, sexual dysfunction is one of them. Dimpho middle-aged people to pick a project, too busy coke head rotten - the amount of down time at home will sleep in bed, which makes it somewhat discontented with his wife. This does not, he went to the Northeast on a business trip back a month later, his wife met him on the attached affectionate months Mei Wan, but he looked very tired, said: "every day road warriors, real tired. On the train when, but also Some impulse, we can see you, that kind of passion went so far as to run no more. waiting for me to rest, and then properly compensate you, okay? "Xian-hui Yu-li How can anyone not distressed that their husband's ah, again, he is coming home , plenty of time. Then said softly: "Good! I'll give you put hot water, a good bath it."
While, at the Li suddenly think of something, and she seriously looked dimpho found dimpho body thinner than in the past a lot. Yu Li, said: "Did you feel any discomfort?" "No ah. You can see my body is not quite good it?" Yu Li told him that his body thinner than in the past, perhaps there's something wrong with the body. Not stand up in Li's repeated persuasion, dimpho promised another day to see a doctor.
Test results came out, dimpho indeed the body is a problem, he is suffering from a hidden diabetes. The couple will make dimpho do not understand is, Why is there suffering from diabetes, sexual dysfunction does
Expert Comments: Diabetes is a common chronic disease polydipsia, polyphagia, polyuria, and weight loss and other "more than three a little" is known. But the early stage of diabetes is not necessarily a "more than three a little" typical symptoms, because the appearance of typical symptoms, it means a serious condition. In particular, especially in type 2 diabetes. Therefore, obesity, high cholesterol, high blood pressure, skin pruritus, in terms of the sore, eating a normal weight loss without any discomfort, etc., should be promptly to the hospital to do blood sugar checks, so as not to delay treatment.
Many complications of diabetes, sexual dysfunction is one of them.
Male diabetic patients the incidence of impotence as high as 40% to 60%, symptoms of the disease increased gradually with the increase. Patients had a normal sexual desire, ejaculation and orgasm can be, only the symptoms of penile erection will not be strong. With the extension of duration of diabetes, can gradually develop into complete impotence. 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, which control the bladder neck with the patient's autonomic nervous system damage to related to ejaculation, when this should be in closed state into an open bladder neck.
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.
Thus, diabetic patients with sexual dysfunction, they should realize that this is caused by the disease, only by controlling the diet, lower blood sugar and other comprehensive treatment measures to control diabetes, the patient, in order to prevent further decline of sexual function. In addition, according to the type of sexual dysfunction to take the appropriate treatment and, where appropriate to participate in physical exercise to enhance physical fitness, thus improving sexual function.
While, at the Li suddenly think of something, and she seriously looked dimpho found dimpho body thinner than in the past a lot. Yu Li, said: "Did you feel any discomfort?" "No ah. You can see my body is not quite good it?" Yu Li told him that his body thinner than in the past, perhaps there's something wrong with the body. Not stand up in Li's repeated persuasion, dimpho promised another day to see a doctor.
Test results came out, dimpho indeed the body is a problem, he is suffering from a hidden diabetes. The couple will make dimpho do not understand is, Why is there suffering from diabetes, sexual dysfunction does
Expert Comments: Diabetes is a common chronic disease polydipsia, polyphagia, polyuria, and weight loss and other "more than three a little" is known. But the early stage of diabetes is not necessarily a "more than three a little" typical symptoms, because the appearance of typical symptoms, it means a serious condition. In particular, especially in type 2 diabetes. Therefore, obesity, high cholesterol, high blood pressure, skin pruritus, in terms of the sore, eating a normal weight loss without any discomfort, etc., should be promptly to the hospital to do blood sugar checks, so as not to delay treatment.
Many complications of diabetes, sexual dysfunction is one of them.
Male diabetic patients the incidence of impotence as high as 40% to 60%, symptoms of the disease increased gradually with the increase. Patients had a normal sexual desire, ejaculation and orgasm can be, only the symptoms of penile erection will not be strong. With the extension of duration of diabetes, can gradually develop into complete impotence. 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, which control the bladder neck with the patient's autonomic nervous system damage to related to ejaculation, when this should be in closed state into an open bladder neck.
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.
Thus, diabetic patients with sexual dysfunction, they should realize that this is caused by the disease, only by controlling the diet, lower blood sugar and other comprehensive treatment measures to control diabetes, the patient, in order to prevent further decline of sexual function. In addition, according to the type of sexual dysfunction to take the appropriate treatment and, where appropriate to participate in physical exercise to enhance physical fitness, thus improving sexual function.
Do not let a man lost glory Diabetes
ED is a male erectile dysfunction abbreviation. The prevalence of ED is particularly high in certain groups, aging, hypertension, heart disease and diabetes risk of ED patients in very high, especially in diabetic patients, their ED prevalence rate was 35% ~ 75%, diabetes, men's self-ratings The ED than non-diabetic men, more than 3 times higher, and the ED occur at younger ages than non-diabetic men, as early as 10 to 15 years. ED is a male erectile dysfunction the title, refers to the penis can not be sustained to achieve or maintain adequate erection, can not be a satisfactory sexual life, usually manifested an erection will not be strong, insert the difficulties, impotence Zaoxie, loss of libido, orgasm and ejaculation function barriers. Depending on their degree of ED were divided into mild, moderate and severe degrees of erectile dysfunction are severe ED.
ED occurs in patients with high risk of diabetes
The prevalence of ED is particularly high in certain groups, aging, hypertension, heart disease and diabetes risk of ED patients in very high, especially in diabetic patients, their ED prevalence rate was 35% ~ 75%, diabetes, men's self-ratings The ED than non-diabetic men, more than 3 times higher, and the ED occur at younger ages than non-diabetic men, as early as 10 to 15 years. Can be seen, diabetes can cause ED, the ED often diabetes is "Alarm." Disease more than 5 years by half in patients with type 1 diabetes can cause ED.
Early in the 15th century, people think ED is the devil possessed the 18th century, considered to be caused by masturbation, the early 19th century that the ED are psychological diseases, 50 years after the 20th century, considered to be acts of disease until 70 years after the gradual Recognizing that its organic cause. While it is recognized that psychological factors can cause ED, but for most of the men, ED and many diseases (hypertension, diabetes, cardiovascular disease), drugs, trauma and related surgery.
In May 2007, held the First National Conference on the endocrine gland, the PLA General Hospital, Chief Physician Department of Endocrinology, Professor Li Jiangyuan pointed out that the prevalence of ED patients with diabetes is 35% ~ 75% in all ED patients, caused by diabetes, accounting for 1 / 3, we still need more, while the age of diabetes than non-diabetic ED patients to be as early as 10 to 15 years.
Endocrinology Branch of the Standing Committee of the Chinese Medical Association, gonads, head of school, Department of Endocrinology, PLA General Hospital, Chief Physician, Professor Yoshiaki mother said, the domestic 42 hospitals had 6193 cases of male endocrine clinic with type 2 diabetes research studies found that type 2 diabetes mellitus in patients with ED is a common complication, ED occurred, as well as the severity of diabetes prevalence and age, disease duration, blood glucose control clearly related conditions and other factors. Duration of longer than 10 years, the proportion of ED patients with severe 22%, less than 2 years duration in patients with ED prevalence rate was only 4.69%. Patients with type 1 diabetes have higher rates of ED, the sick more than 5 years by half in patients with type 1 diabetes can cause ED.
Mother Yoshiaki, penis-shaped sponge from the three long, comprising of 2 in the dorsal penile corpus cavernosum and is located in a ventral corpus spongiosum. Corpus cavernosum is the erectile tissue, especially the cavernous sinus and the arterial wall smooth muscle. Surrounding the penis followed by the organization outside to the inside skin, penis, superficial fascia, deep fascia and tunica albuginea penis. In penile erection, these fascia to extend and increase the circumference, and formed a straight erection, maintain a high degree of stiffness and axial forces; weakness in the penis, these fascial layers becomes soft.
Under normal circumstances, first by the brain to deliver stimulation signals to the nervous system, blood vessels, so that within the corpus cavernosum smooth muscle relaxation, small arteries, cavernous blood flow and pressure increased dramatically, while multi-level arrangement will enable a fascia Layer another layer of fascia in the slide, in the penis during erection to prevent venous outflow, leading to congestive expansion of the erectile tissues of the full.
Penile erection is due to partial genital sensory stimulation (reflex erection), and the brain to accept or generate mental stimulation (psychogenic erection) caused.
Psychogenic erection is to listen, smell, visual, taste, touch, or thought to stimulate the imagination and so excited about the cerebral cortex hub, and through the spinal cord sympathetic thoracolumbar erection center by the spread, but also through the spinal cord sacral erection center came from the parasympathetic , the dominant erectile tissue. Reflex erections are from foreign receptors to stimulate the genitals and from internal organs (including the rectum and bladder) and in sensory stimulation, through the pudendal afferent inputs by sacral parasympathetic dominance came erectile tissue. Psychological stimulation and reflex stimulation often synergistic effect, but can also be separate roles. On the other hand, mental stimulation can suppress and hinder the reflex erection.
Thus, penile erection is a complex neurovascular response, which in addition to the male reproductive organs and the normal psychological state, but also depends on the hypothalamus - pituitary - gonadal Shaft endocrine system and nervous, vascular system's integrity.
ED patients with diabetes are mostly organic disease
MU Yi-ming points out that in clinical practice, there are many diabetic patients to the hospital due to ED treatment, and then found to be suffering from diabetes. Because of high blood sugar diabetes, hypertension and lipid disorders such circumstances susceptible to neurological and vascular lesions, damage erectile function. On the other hand, patients with diabetes because the disease often produces anxiety, depression and other negative emotions, psychological causes can lead to ED. Although diabetes may occur in patients with psychogenic ED, but most patients also are organic in ED.
Penis autonomic neuropathy in diabetic ED pathophysiology plays a major role. Diabetes blood sugar is too high, will cause some of its nerve fibers of carbohydrate (for example, polyols, etc.) deposition, so that nerve fiber degeneration, swelling, but also caused some nerve endings to reduce the release of neurotransmitters, causing endoneurium reduce blood flow and nerve conduction velocity reduced, hinder penile erection.
Vascular disease, whether large or small vessel disease are the main reason for diabetes complications and mortality. The blood sugar too much, will definitely lead to blood vessel lining cells, metabolic abnormalities and damaged, thus causing the vessel wall lipid deposition, thrombus formation, calcification and vascular wall degeneration, eventually leading to lumen narrowing and narrow, so that is bound to affect intravascular blood flow. When the supply of the penis significantly reduced blood flow, penile erection is not any good way to complete the task.
Mother Yoshiaki, atherosclerotic vascular disease leading to the most common causes of organic ED. In patients with clinically significant peripheral vascular disease in men, 40% ~ 50% are suffering from ED, of which 80% is organic ED. When the atherosclerotic penile arteries blocking the supply of more than 50% occur when the ED, 40% ~ 45% of atherosclerosis in patients with diabetic ED penis ultrastructural abnormalities, such as the reduction in smooth muscle cells. In addition, the cavernous venous dysraphism organic ED in all patients with the incidence rate is as high as 86%, probably due to trabecular smooth muscle elastic fiber structural components changed.
Of androgen on the male reproductive tract and secondary sexual characteristics of the growth and development has an important effect on the sexuality and sexual behavior is also yes. At present, have been found sacral parasympathetic nucleus, hypothalamus and limbic system the existence of androgen receptor, indicating androgen may be through these central processes involved in the regulation of erection. In addition to gonad dysfunction, the thyroid, pituitary and adrenal disease, and hyperprolactinemia may also lead to ED.
MU Yi-ming, ED diagnosis does not necessarily require sophisticated inspection, simply fill in a symptom scale, according to patients and their spouses of the self-reporting can make a diagnosis. The most simple and widely accepted international questionnaire erectile function scale is -5 (IIEF-5). 5 questions of the questionnaire and scoring are as follows:
When you try to sexual intercourse, how many times feel satisfied?
0 points: No intention of sexual intercourse
1 min: Almost no
2 points: a small number (less than half)
3 hours: about half of the
4 pm: Most (more than half)
5 pm: Almost always
Your right to obtain and maintain an erection how much confidence?
0 points: No sexual activity
1 min: very low
2 points: low
3 pm: Medium
4 pm: High
5 points: very high
When the sexual stimulation, how many times can get enough into the vagina erection hardness?
0 points: No intention of sexual intercourse
1 min: Almost no
2 points: a small number (less than half)
3 hours: about half of the
4 pm: Most (more than half)
5 pm: Almost always
When sexual intercourse inserted, how many times to maintain an erection?
1 min: Almost no
2 points: a small number (less than half)
3 hours: about half of the
4 pm: Most (more than half)
5 pm: Almost always
When sexual intercourse, to maintain an erection to completion of row feet how much difficulty?
1 min: extremely difficult
2 pm: very difficult to
3: Difficulties
4 pm: a little difficult to
5 points: There is no difficulty
Rating: Total 5 ~ 7 minutes was severe ED, 8 ~ 11 is divided into moderate ED, 12 ~ 21 are divided into mild ED, greater than or equal 22 are divided into non-ED.
Third-line therapy governance Diabetes
Mother Yoshiaki, treatment of diabetic ED patients first need a good blood glucose control, proper diet, adequate exercise, less alcohol quit smoking, maintaining a balanced state of mind and improve associated with high blood pressure, high cholesterol, obesity and so on.
The first-line treatment for diabetic ED are mainly oral medication, psychological counseling and vacuum erection devices to help. Oral medication, including oral drugs, such as promoting erectile sildenafil (Viagra), vardenafil, apomorphine and phentolamine, etc. One of the most effective is sildenafil. Sildenafil right, including diabetes caused by different etiology, including ED are valid.
Sildenafil fewer side effects will arise after a small number of patients treated with facial flushing, headache, indigestion, nasal congestion and diarrhea. In general, most patients need to take 100 mg, each about 1 hour before sexual activity taking it up to take a times a day. The age of 65 or more, liver and kidney dysfunction or receive erythromycin, cimetidine in patients treated with 25 mg is preferred. Taking ritonavir (HIV protease inhibiting agents) in patients taking sildenafil within 48 hours of each dose of a maximum of 25 mg.
In addition, sildenafil can not be combined with nitrates, otherwise it will result in significant drop in blood pressure. Because diabetes is often accompanied by hypertension and coronary heart disease, therefore, taking these drugs, patients need attention and activities related to the cardiovascular risk. A bleeding disorder, peptic ulcer disease, hereditary retinitis pigmentosa, penis anatomy easily cause deformities and suffering from priapism should be used with caution in patients with the disease. In the beginning of sexual activity, such as occurs angina, dizziness, nausea and other symptoms, the need to terminate sexual activity.
Yoshiaki mother said, many drugs can affect sexual function, but each of different doses of a drug's effects on sexual function is different in different people or the same person at different times in response to medication is not the same, so patients should have Under the guidance of experienced doctors and reasonable use of drugs.
The pathogenesis of diabetic ED patients in part because of the psychological factors, many patients are often once in a failure of the sexual life of an enormous psychological pressure, over time, forming a vicious circle. Therefore, ED patients to conduct psychotherapy.
Psychological treatment needs of both husband and wife co-diabetic ED patients should first clear the majority of ED can be improved or cured, so should take the initiative to conduct psychological adjustment. Between husband and wife should be to overcome the pessimism, and foster the confidence to overcome the disease and eliminate anxiety and tension caused by mental burden. Meanwhile, the need to strengthen the self-body sexual function and its influencing factors and understand the incidence of psychogenic causes of ED, the lack of self-confidence, fear of failure, the excessive value their own or spouse's sexual response capability, will reduce the excitability of penile erection . Both husband and wife in sexual life but also to enhance sex life prior to the preparation of pre-and multi-sexual pre-caressing, stimulation.
Mother Yoshiaki, patients in the first-line therapy to be ineffective, or patients can not tolerate the adverse reaction, can take second-line therapy. Second-line treatment is mainly carried out by a specialist intracavernous injection (prostaglandin E, etc.).
Intracavernous self-injection of vasoactive drugs in the last 10 years, for the treatment of ED of the most important advances achieved in one of the earliest use of vasoactive drugs papaverine hydrochloride, phenoxybenzamine, and alprostadil. Intracavernous self-injection of vasoactive drugs on arterial blood flow and normal function of cavernous venous closure of diabetic patients with ED have a good effect, but the venous closure insufficiency in patients with poorer treatment outcomes of diabetic ED. The treatment of the most common adverse reaction is the formation of painless intracavernous fibrosis, nodules, and sometimes can cause penile curvature, can also cause serious systemic adverse reactions, such as vasovagal attacks and syncope. The occurrence of nodular fibrosis and injection frequency and injection treatment related to the onset of vasovagal syncope, and hypotension may be related.
Third-line therapies, including penile prosthesis implantation and arterial bypass, vein ligation, but these methods are highly invasive, and prone to a variety of complications, with the drugs and other non-invasive, minimally invasive therapy for treatment of ED has made a good effect, at present, surgical treatment has been limited in China.
ED occurs in patients with high risk of diabetes
The prevalence of ED is particularly high in certain groups, aging, hypertension, heart disease and diabetes risk of ED patients in very high, especially in diabetic patients, their ED prevalence rate was 35% ~ 75%, diabetes, men's self-ratings The ED than non-diabetic men, more than 3 times higher, and the ED occur at younger ages than non-diabetic men, as early as 10 to 15 years. Can be seen, diabetes can cause ED, the ED often diabetes is "Alarm." Disease more than 5 years by half in patients with type 1 diabetes can cause ED.
Early in the 15th century, people think ED is the devil possessed the 18th century, considered to be caused by masturbation, the early 19th century that the ED are psychological diseases, 50 years after the 20th century, considered to be acts of disease until 70 years after the gradual Recognizing that its organic cause. While it is recognized that psychological factors can cause ED, but for most of the men, ED and many diseases (hypertension, diabetes, cardiovascular disease), drugs, trauma and related surgery.
In May 2007, held the First National Conference on the endocrine gland, the PLA General Hospital, Chief Physician Department of Endocrinology, Professor Li Jiangyuan pointed out that the prevalence of ED patients with diabetes is 35% ~ 75% in all ED patients, caused by diabetes, accounting for 1 / 3, we still need more, while the age of diabetes than non-diabetic ED patients to be as early as 10 to 15 years.
Endocrinology Branch of the Standing Committee of the Chinese Medical Association, gonads, head of school, Department of Endocrinology, PLA General Hospital, Chief Physician, Professor Yoshiaki mother said, the domestic 42 hospitals had 6193 cases of male endocrine clinic with type 2 diabetes research studies found that type 2 diabetes mellitus in patients with ED is a common complication, ED occurred, as well as the severity of diabetes prevalence and age, disease duration, blood glucose control clearly related conditions and other factors. Duration of longer than 10 years, the proportion of ED patients with severe 22%, less than 2 years duration in patients with ED prevalence rate was only 4.69%. Patients with type 1 diabetes have higher rates of ED, the sick more than 5 years by half in patients with type 1 diabetes can cause ED.
Mother Yoshiaki, penis-shaped sponge from the three long, comprising of 2 in the dorsal penile corpus cavernosum and is located in a ventral corpus spongiosum. Corpus cavernosum is the erectile tissue, especially the cavernous sinus and the arterial wall smooth muscle. Surrounding the penis followed by the organization outside to the inside skin, penis, superficial fascia, deep fascia and tunica albuginea penis. In penile erection, these fascia to extend and increase the circumference, and formed a straight erection, maintain a high degree of stiffness and axial forces; weakness in the penis, these fascial layers becomes soft.
Under normal circumstances, first by the brain to deliver stimulation signals to the nervous system, blood vessels, so that within the corpus cavernosum smooth muscle relaxation, small arteries, cavernous blood flow and pressure increased dramatically, while multi-level arrangement will enable a fascia Layer another layer of fascia in the slide, in the penis during erection to prevent venous outflow, leading to congestive expansion of the erectile tissues of the full.
Penile erection is due to partial genital sensory stimulation (reflex erection), and the brain to accept or generate mental stimulation (psychogenic erection) caused.
Psychogenic erection is to listen, smell, visual, taste, touch, or thought to stimulate the imagination and so excited about the cerebral cortex hub, and through the spinal cord sympathetic thoracolumbar erection center by the spread, but also through the spinal cord sacral erection center came from the parasympathetic , the dominant erectile tissue. Reflex erections are from foreign receptors to stimulate the genitals and from internal organs (including the rectum and bladder) and in sensory stimulation, through the pudendal afferent inputs by sacral parasympathetic dominance came erectile tissue. Psychological stimulation and reflex stimulation often synergistic effect, but can also be separate roles. On the other hand, mental stimulation can suppress and hinder the reflex erection.
Thus, penile erection is a complex neurovascular response, which in addition to the male reproductive organs and the normal psychological state, but also depends on the hypothalamus - pituitary - gonadal Shaft endocrine system and nervous, vascular system's integrity.
ED patients with diabetes are mostly organic disease
MU Yi-ming points out that in clinical practice, there are many diabetic patients to the hospital due to ED treatment, and then found to be suffering from diabetes. Because of high blood sugar diabetes, hypertension and lipid disorders such circumstances susceptible to neurological and vascular lesions, damage erectile function. On the other hand, patients with diabetes because the disease often produces anxiety, depression and other negative emotions, psychological causes can lead to ED. Although diabetes may occur in patients with psychogenic ED, but most patients also are organic in ED.
Penis autonomic neuropathy in diabetic ED pathophysiology plays a major role. Diabetes blood sugar is too high, will cause some of its nerve fibers of carbohydrate (for example, polyols, etc.) deposition, so that nerve fiber degeneration, swelling, but also caused some nerve endings to reduce the release of neurotransmitters, causing endoneurium reduce blood flow and nerve conduction velocity reduced, hinder penile erection.
Vascular disease, whether large or small vessel disease are the main reason for diabetes complications and mortality. The blood sugar too much, will definitely lead to blood vessel lining cells, metabolic abnormalities and damaged, thus causing the vessel wall lipid deposition, thrombus formation, calcification and vascular wall degeneration, eventually leading to lumen narrowing and narrow, so that is bound to affect intravascular blood flow. When the supply of the penis significantly reduced blood flow, penile erection is not any good way to complete the task.
Mother Yoshiaki, atherosclerotic vascular disease leading to the most common causes of organic ED. In patients with clinically significant peripheral vascular disease in men, 40% ~ 50% are suffering from ED, of which 80% is organic ED. When the atherosclerotic penile arteries blocking the supply of more than 50% occur when the ED, 40% ~ 45% of atherosclerosis in patients with diabetic ED penis ultrastructural abnormalities, such as the reduction in smooth muscle cells. In addition, the cavernous venous dysraphism organic ED in all patients with the incidence rate is as high as 86%, probably due to trabecular smooth muscle elastic fiber structural components changed.
Of androgen on the male reproductive tract and secondary sexual characteristics of the growth and development has an important effect on the sexuality and sexual behavior is also yes. At present, have been found sacral parasympathetic nucleus, hypothalamus and limbic system the existence of androgen receptor, indicating androgen may be through these central processes involved in the regulation of erection. In addition to gonad dysfunction, the thyroid, pituitary and adrenal disease, and hyperprolactinemia may also lead to ED.
MU Yi-ming, ED diagnosis does not necessarily require sophisticated inspection, simply fill in a symptom scale, according to patients and their spouses of the self-reporting can make a diagnosis. The most simple and widely accepted international questionnaire erectile function scale is -5 (IIEF-5). 5 questions of the questionnaire and scoring are as follows:
When you try to sexual intercourse, how many times feel satisfied?
0 points: No intention of sexual intercourse
1 min: Almost no
2 points: a small number (less than half)
3 hours: about half of the
4 pm: Most (more than half)
5 pm: Almost always
Your right to obtain and maintain an erection how much confidence?
0 points: No sexual activity
1 min: very low
2 points: low
3 pm: Medium
4 pm: High
5 points: very high
When the sexual stimulation, how many times can get enough into the vagina erection hardness?
0 points: No intention of sexual intercourse
1 min: Almost no
2 points: a small number (less than half)
3 hours: about half of the
4 pm: Most (more than half)
5 pm: Almost always
When sexual intercourse inserted, how many times to maintain an erection?
1 min: Almost no
2 points: a small number (less than half)
3 hours: about half of the
4 pm: Most (more than half)
5 pm: Almost always
When sexual intercourse, to maintain an erection to completion of row feet how much difficulty?
1 min: extremely difficult
2 pm: very difficult to
3: Difficulties
4 pm: a little difficult to
5 points: There is no difficulty
Rating: Total 5 ~ 7 minutes was severe ED, 8 ~ 11 is divided into moderate ED, 12 ~ 21 are divided into mild ED, greater than or equal 22 are divided into non-ED.
Third-line therapy governance Diabetes
Mother Yoshiaki, treatment of diabetic ED patients first need a good blood glucose control, proper diet, adequate exercise, less alcohol quit smoking, maintaining a balanced state of mind and improve associated with high blood pressure, high cholesterol, obesity and so on.
The first-line treatment for diabetic ED are mainly oral medication, psychological counseling and vacuum erection devices to help. Oral medication, including oral drugs, such as promoting erectile sildenafil (Viagra), vardenafil, apomorphine and phentolamine, etc. One of the most effective is sildenafil. Sildenafil right, including diabetes caused by different etiology, including ED are valid.
Sildenafil fewer side effects will arise after a small number of patients treated with facial flushing, headache, indigestion, nasal congestion and diarrhea. In general, most patients need to take 100 mg, each about 1 hour before sexual activity taking it up to take a times a day. The age of 65 or more, liver and kidney dysfunction or receive erythromycin, cimetidine in patients treated with 25 mg is preferred. Taking ritonavir (HIV protease inhibiting agents) in patients taking sildenafil within 48 hours of each dose of a maximum of 25 mg.
In addition, sildenafil can not be combined with nitrates, otherwise it will result in significant drop in blood pressure. Because diabetes is often accompanied by hypertension and coronary heart disease, therefore, taking these drugs, patients need attention and activities related to the cardiovascular risk. A bleeding disorder, peptic ulcer disease, hereditary retinitis pigmentosa, penis anatomy easily cause deformities and suffering from priapism should be used with caution in patients with the disease. In the beginning of sexual activity, such as occurs angina, dizziness, nausea and other symptoms, the need to terminate sexual activity.
Yoshiaki mother said, many drugs can affect sexual function, but each of different doses of a drug's effects on sexual function is different in different people or the same person at different times in response to medication is not the same, so patients should have Under the guidance of experienced doctors and reasonable use of drugs.
The pathogenesis of diabetic ED patients in part because of the psychological factors, many patients are often once in a failure of the sexual life of an enormous psychological pressure, over time, forming a vicious circle. Therefore, ED patients to conduct psychotherapy.
Psychological treatment needs of both husband and wife co-diabetic ED patients should first clear the majority of ED can be improved or cured, so should take the initiative to conduct psychological adjustment. Between husband and wife should be to overcome the pessimism, and foster the confidence to overcome the disease and eliminate anxiety and tension caused by mental burden. Meanwhile, the need to strengthen the self-body sexual function and its influencing factors and understand the incidence of psychogenic causes of ED, the lack of self-confidence, fear of failure, the excessive value their own or spouse's sexual response capability, will reduce the excitability of penile erection . Both husband and wife in sexual life but also to enhance sex life prior to the preparation of pre-and multi-sexual pre-caressing, stimulation.
Mother Yoshiaki, patients in the first-line therapy to be ineffective, or patients can not tolerate the adverse reaction, can take second-line therapy. Second-line treatment is mainly carried out by a specialist intracavernous injection (prostaglandin E, etc.).
Intracavernous self-injection of vasoactive drugs in the last 10 years, for the treatment of ED of the most important advances achieved in one of the earliest use of vasoactive drugs papaverine hydrochloride, phenoxybenzamine, and alprostadil. Intracavernous self-injection of vasoactive drugs on arterial blood flow and normal function of cavernous venous closure of diabetic patients with ED have a good effect, but the venous closure insufficiency in patients with poorer treatment outcomes of diabetic ED. The treatment of the most common adverse reaction is the formation of painless intracavernous fibrosis, nodules, and sometimes can cause penile curvature, can also cause serious systemic adverse reactions, such as vasovagal attacks and syncope. The occurrence of nodular fibrosis and injection frequency and injection treatment related to the onset of vasovagal syncope, and hypotension may be related.
Third-line therapies, including penile prosthesis implantation and arterial bypass, vein ligation, but these methods are highly invasive, and prone to a variety of complications, with the drugs and other non-invasive, minimally invasive therapy for treatment of ED has made a good effect, at present, surgical treatment has been limited in China.
Thursday, September 10, 2009
Erectile dysfunction in diabetic patients is common
Italy consorzio mario negri sud Institute 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. (Reuters Medical News) The February issue of "Diabetes guardianship" magazine reported that more than half of patients with type 2 diabetes exists erectile dysfunction problems, but only less than 1 / 3 of patients said their doctors had been concerned about this issue with the .
Italy consorzio mario negri sud Institute 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.
Dr. nicolucci 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. "
Italy consorzio mario negri sud Institute 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.
Dr. nicolucci 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. "
Diabetic sexual dysfunction medicine dialectical perish rule
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. At present, the nature of consultation in the treatment of diabetic impotence the increasing value of attention.
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. At present, the nature of consultation in the treatment of diabetic impotence the increasing value of attention.
Wednesday, September 9, 2009
Diabetes does not mean impotence
"Diabetes or impotence" solid as a misrepresentation, but some people have diabetes, are often gullible, so that really leads to sexual dysfunction.
The so-called "Diabetes" refers to abnormal elevation of blood sugar, its easy to serious violations of reproductive nerve and erectile nerves, the patient not rule the game than it may even cause complete paralysis. However, this only refers to the very severe cases, rarely a direct result of impotence due to diabetes cases. Gullible most cases because of lack of scientific attitude, but also listen to the so-called "diabetes or erectile dysfunction," the misrepresentation, combined with caution in patients with a doctor often pay more attention to the body, while the enhanced role of the patient's self-suggestion, the resulting psychogenic sexual function barriers. On the one hand should be actively treated patients with diabetes, diet, regulating blood sugar, on the other hand should be put aside ideological baggage, eliminate psychological pressure, rest assured to enjoy sex life.
The so-called "Diabetes" refers to abnormal elevation of blood sugar, its easy to serious violations of reproductive nerve and erectile nerves, the patient not rule the game than it may even cause complete paralysis. However, this only refers to the very severe cases, rarely a direct result of impotence due to diabetes cases. Gullible most cases because of lack of scientific attitude, but also listen to the so-called "diabetes or erectile dysfunction," the misrepresentation, combined with caution in patients with a doctor often pay more attention to the body, while the enhanced role of the patient's self-suggestion, the resulting psychogenic sexual function barriers. On the one hand should be actively treated patients with diabetes, diet, regulating blood sugar, on the other hand should be put aside ideological baggage, eliminate psychological pressure, rest assured to enjoy sex life.
Great importance to diabetic erectile dysfunction
The vast majority of diabetic patients, psychological factors and organic factors are likely to exist. These factors will lead to diabetic corpus cavernosum tissue apoptosis, reduction in the number; artery wall thickening, and stiffness; cavernosum endothelial cells and smooth muscle cell ultrastructure and mitochondrial degeneration, interstitial tissue, microvascular occlusion. Diabetic erectile dysfunction (ED) in the past commonly known as "impotence" means can not achieve or maintain an erection sufficient for satisfactory sexual life.
ED may be signs of diabetes on the period of
Compared with the general population, diabetic patients prone to occur earlier ED, its probability is about 8 times higher. ED could become one of the hallmarks of early diabetes. In endocrine and male out-patient clinics, there are a lot of people is because the ED and treatment, check blood sugar when found in diabetes.
The cause of ED patients with diabetes
The vast majority of diabetic patients, psychological factors and organic factors are likely to exist. These factors will lead to diabetic corpus cavernosum tissue apoptosis, reduction in the number; artery wall thickening, and stiffness; cavernosum endothelial cells and smooth muscle cell ultrastructure and mitochondrial degeneration, interstitial tissue, microvascular occlusion.
Patients with longer duration of diabetes. Poor glycemic control, smoking, concurrent high blood pressure and blood lipid disorders, taking easily lead to other ED drugs can increase the incidence of ED.
The consequences of ED
ED If you do not receive timely treatment, can lead to the following consequences: In the physical aspect, ED may be accompanied by other diseases, such as cardiovascular disease, depression, nervous system and prostate cancer and other diseases, if we neglect the Indian, will delay these diseases associated with The diagnosis and treatment; the emotional, expressed as irritability, depression, decreased self-esteem; in interpersonal skills, performance is not willing to exchange with others, confinement, escape; in sexual life, easily lead to premature ejaculation, low sexual desire, as well as the gradual ED increase, affecting quality of life; in family life that can lead to unhealthy living habits (smoking, excessive drinking, lack of exercise) can not be improved.
ED has been neglected because
From the patient's point of view. As most of the ED is not enough understanding of diabetes sufferers do not know when to go to hospital, and how to express the symptoms to doctors. In addition, the overhead for the treatment of diabetic patients have significant and undoubtedly added to the treatment of ED patient's economic burden.
From a doctor's point of view. Because a wide range of complications of diabetes, but most of the more complications can be dead or disabled, can cause a doctor in the field of endocrine enough attention to it relative to other complications, ED lethal disability is not that high. Combined with endocrine disease and male subjects belonging to the intersection of the medical profession does not paying sufficient attention to this; Also, for ED treatment, doctors refer to the limited resources available, coupled with their lack of experience, but also very difficult to have the relevant progress in .
From a social point of view, influenced by traditional cultural influences, subtle and introverted, and shy of the majority of sufferers the treatment of ED to hold negative and evasive attitude, whether the doctors or the patients do not feel comfortable publicly talking about ED.
Work together to pay attention to ED
As society advances, medical level has been greatly improved, various complications of diabetes and gradually brought under control, patients have more and more attention to their quality of life, diabetes with diagnosis and treatment of ED are more and more on the logical of people attention.
Men with diabetes sufferers, as it should, like attention to other complications like diabetes, attention to ED, take the initiative to understand their knowledge, positive prevention, actively cooperate with the medical examination, detailed medical history to tell, to overcome psychological barriers and active treatment.
Endocrine treatment practitioners in their daily work, should also be asked in detail about history, whether screening patients with complicated and India, the words "sexual function" as part of routine history taking. Authoritative international bodies have proposed a simple and effective diagnostic method of ED, the patient as long as the ED a self-test by filling out the scale, we can diagnose it with an initial ED.
ED may be signs of diabetes on the period of
Compared with the general population, diabetic patients prone to occur earlier ED, its probability is about 8 times higher. ED could become one of the hallmarks of early diabetes. In endocrine and male out-patient clinics, there are a lot of people is because the ED and treatment, check blood sugar when found in diabetes.
The cause of ED patients with diabetes
The vast majority of diabetic patients, psychological factors and organic factors are likely to exist. These factors will lead to diabetic corpus cavernosum tissue apoptosis, reduction in the number; artery wall thickening, and stiffness; cavernosum endothelial cells and smooth muscle cell ultrastructure and mitochondrial degeneration, interstitial tissue, microvascular occlusion.
Patients with longer duration of diabetes. Poor glycemic control, smoking, concurrent high blood pressure and blood lipid disorders, taking easily lead to other ED drugs can increase the incidence of ED.
The consequences of ED
ED If you do not receive timely treatment, can lead to the following consequences: In the physical aspect, ED may be accompanied by other diseases, such as cardiovascular disease, depression, nervous system and prostate cancer and other diseases, if we neglect the Indian, will delay these diseases associated with The diagnosis and treatment; the emotional, expressed as irritability, depression, decreased self-esteem; in interpersonal skills, performance is not willing to exchange with others, confinement, escape; in sexual life, easily lead to premature ejaculation, low sexual desire, as well as the gradual ED increase, affecting quality of life; in family life that can lead to unhealthy living habits (smoking, excessive drinking, lack of exercise) can not be improved.
ED has been neglected because
From the patient's point of view. As most of the ED is not enough understanding of diabetes sufferers do not know when to go to hospital, and how to express the symptoms to doctors. In addition, the overhead for the treatment of diabetic patients have significant and undoubtedly added to the treatment of ED patient's economic burden.
From a doctor's point of view. Because a wide range of complications of diabetes, but most of the more complications can be dead or disabled, can cause a doctor in the field of endocrine enough attention to it relative to other complications, ED lethal disability is not that high. Combined with endocrine disease and male subjects belonging to the intersection of the medical profession does not paying sufficient attention to this; Also, for ED treatment, doctors refer to the limited resources available, coupled with their lack of experience, but also very difficult to have the relevant progress in .
From a social point of view, influenced by traditional cultural influences, subtle and introverted, and shy of the majority of sufferers the treatment of ED to hold negative and evasive attitude, whether the doctors or the patients do not feel comfortable publicly talking about ED.
Work together to pay attention to ED
As society advances, medical level has been greatly improved, various complications of diabetes and gradually brought under control, patients have more and more attention to their quality of life, diabetes with diagnosis and treatment of ED are more and more on the logical of people attention.
Men with diabetes sufferers, as it should, like attention to other complications like diabetes, attention to ED, take the initiative to understand their knowledge, positive prevention, actively cooperate with the medical examination, detailed medical history to tell, to overcome psychological barriers and active treatment.
Endocrine treatment practitioners in their daily work, should also be asked in detail about history, whether screening patients with complicated and India, the words "sexual function" as part of routine history taking. Authoritative international bodies have proposed a simple and effective diagnostic method of ED, the patient as long as the ED a self-test by filling out the scale, we can diagnose it with an initial ED.
Tuesday, September 8, 2009
Diabetes, ED and erythrocyte aldose reductase
Erectile dysfunction (ED) is a common complication of diabetes, while the erythrocyte aldose reductase (A Day) are involved in a variety of diabetic complications. Kyoto Prefecture Medical University, Department of Urology of the Nayay and colleagues studied 62 patients with diabetes, of which 2
5 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 India contains the five elements according to the International Index of Erectile Function (10EF-5) derived.
The researchers found that, CnF group A was significantly higher than the daily average level of DM group and control group (P <0.001). DM group, non-Tian's average level of AR was significantly lower than DM group had ED and the controls (P <0.005).
The researchers believe that these results show that the level of A Day in predicting diabetes in patients with ED can be used as an effective means of disease.
Source: "Asahi Shimbun"
High GGT was the first pick impaired glucose tolerance
Pisa, Italy University School of Medicine Nannipieri such a population-based studies have shown, Y-glutamyltransferase GGT (GGT) is elevated with impaired glucose tolerance (IGT) and diabetes were independent predictors of factors.
The study included a group of 1441 non-B and hepatitis C virus infection in evidence, and no acute liver injury and alcohol intake "250 g / week for adults. The group at the 7-year follow-up study, a total of 94 people occurred in type 2 diabetes, and another 93 have taken place in Impaired Glucose Tolerance (IGT).
The results showed that in multivariate analysis, by gender, age, obesity, fat distribution, alcohol intake, blood lipid and blood pressure after correction, baseline alanine aminotransferase (AST) and GGT increased and the incidence of IGT and diabetes was significantly correlated , and GGT increased with all the features of the metabolic syndrome are related. The results show that. Elevated GGT is an independent predictor of diabetes, IGT is also a factor.
Source: "China Medical Tribune"
Adiponectin and leptin levels may help to distinguish between type 1,2 diabetes mellitus in children
According to U.S. researchers reported, adiponectin (adiponectin) and leptin (1eptin) plasma levels can help to distinguish between 1 or type 2 diabetes patients with adolescents and children.
Senior research staff, the University of Florida A Kensen (Mark
Atkinson) told Reuters, "In recent years, type 2 diabetes in children and adolescents in the surge, we need better markers to distinguish between two-and l-type diabetes." He and colleagues studied 41 diabetic patients l infants, 17 children with type 2 diabetes and 43 controls. The study found, l diabetes in children and the control group serum adiponectin concentration in similar, but type 2 diabetes in children with serum adiponectin levels are significantly reduced. On the contrary, type 2 diabetes, serum leptin levels in children with diabetes than l and the control group was significantly higher in children. Moreover, according to the researchers that the assessment of adiponectin and leptin ratios revealed again, 1,2 diabetic children significantly different.
A Kensen concluded, "Our study not only used to help distinguish these two diseases, but also for their own clues and potential mechanisms for the prevention of diabetes that direction."
Source: "Diabetes Care" magazine (Diabetes Care)
About half of the Zimbabwean people with diabetes
According to Zimbabwe's official newspaper "Herald" reported that about 50% of the Zimbabwean people with diabetes, but they did not realize this situation.
"Herald" quoted an official from Zimbabwe Diabetes Association, Ms. Brenda Munan Jia as saying: "It is sad that so many of the Zimbabwean people with diabetes, and I knew nothing about Quedui disease, as well as Thus passed away, their relatives after autopsy, the deceased are also aware of the true situation. "
Ms. Mu Nanjia appealed to people Every time I go see a doctor when you should check your blood sugar. She said, whether young or old, are likely to have on diabetes. Therefore, everyone should pay attention to their blood glucose level in order to control. If the high blood sugar condition left unchecked, will lead to blindness, impotence, heart disease and kidney disease.
5 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 India contains the five elements according to the International Index of Erectile Function (10EF-5) derived.
The researchers found that, CnF group A was significantly higher than the daily average level of DM group and control group (P <0.001). DM group, non-Tian's average level of AR was significantly lower than DM group had ED and the controls (P <0.005).
The researchers believe that these results show that the level of A Day in predicting diabetes in patients with ED can be used as an effective means of disease.
Source: "Asahi Shimbun"
High GGT was the first pick impaired glucose tolerance
Pisa, Italy University School of Medicine Nannipieri such a population-based studies have shown, Y-glutamyltransferase GGT (GGT) is elevated with impaired glucose tolerance (IGT) and diabetes were independent predictors of factors.
The study included a group of 1441 non-B and hepatitis C virus infection in evidence, and no acute liver injury and alcohol intake "250 g / week for adults. The group at the 7-year follow-up study, a total of 94 people occurred in type 2 diabetes, and another 93 have taken place in Impaired Glucose Tolerance (IGT).
The results showed that in multivariate analysis, by gender, age, obesity, fat distribution, alcohol intake, blood lipid and blood pressure after correction, baseline alanine aminotransferase (AST) and GGT increased and the incidence of IGT and diabetes was significantly correlated , and GGT increased with all the features of the metabolic syndrome are related. The results show that. Elevated GGT is an independent predictor of diabetes, IGT is also a factor.
Source: "China Medical Tribune"
Adiponectin and leptin levels may help to distinguish between type 1,2 diabetes mellitus in children
According to U.S. researchers reported, adiponectin (adiponectin) and leptin (1eptin) plasma levels can help to distinguish between 1 or type 2 diabetes patients with adolescents and children.
Senior research staff, the University of Florida A Kensen (Mark
Atkinson) told Reuters, "In recent years, type 2 diabetes in children and adolescents in the surge, we need better markers to distinguish between two-and l-type diabetes." He and colleagues studied 41 diabetic patients l infants, 17 children with type 2 diabetes and 43 controls. The study found, l diabetes in children and the control group serum adiponectin concentration in similar, but type 2 diabetes in children with serum adiponectin levels are significantly reduced. On the contrary, type 2 diabetes, serum leptin levels in children with diabetes than l and the control group was significantly higher in children. Moreover, according to the researchers that the assessment of adiponectin and leptin ratios revealed again, 1,2 diabetic children significantly different.
A Kensen concluded, "Our study not only used to help distinguish these two diseases, but also for their own clues and potential mechanisms for the prevention of diabetes that direction."
Source: "Diabetes Care" magazine (Diabetes Care)
About half of the Zimbabwean people with diabetes
According to Zimbabwe's official newspaper "Herald" reported that about 50% of the Zimbabwean people with diabetes, but they did not realize this situation.
"Herald" quoted an official from Zimbabwe Diabetes Association, Ms. Brenda Munan Jia as saying: "It is sad that so many of the Zimbabwean people with diabetes, and I knew nothing about Quedui disease, as well as Thus passed away, their relatives after autopsy, the deceased are also aware of the true situation. "
Ms. Mu Nanjia appealed to people Every time I go see a doctor when you should check your blood sugar. She said, whether young or old, are likely to have on diabetes. Therefore, everyone should pay attention to their blood glucose level in order to control. If the high blood sugar condition left unchecked, will lead to blindness, impotence, heart disease and kidney disease.
Diabetic ED largest search and rescue
Many diabetic patients both in the investigation, said: "prefer to have other complications, even if it is more painful and more dangerous complications, do not want to get ED". ED can be seen on the minds of male patients have a strong impact. October 28 is China's men's health day, To this end, Articles on the diagnosis and treatment of diabetic ED issues such as interviews with six well-known medical specialists. ED in diabetic men, not only damages the health of a patient's own body. But also have more mental trauma, she has tend to be inferior, anxiety, depression, depressed ... ... and even influence the happiness of marriage and family stability. To this end, land and professors appealed: prevention and treatment of diabetic ED status quo can not be optimistic, should rise to sufferers, family and the community adequate attention. Erectile dysfunction (ED) is a common complication of diabetes. There are a number at home and abroad on the prevalence of ED investigation. As the investigation of the crowd, ED diagnostic criteria and differences in sample size and other factors, ED prevalence of the results are different. Overall, the prevalence of diabetes in patients with non-diabetic ED's 3-4 times. 42 hospitals in the country recently endocrine clinic for more than 6,000 patients with type 2 diabetes survey found India the prevalence rate of 75.2%, in which severe, moderate and mild ED were 9.07%, 17. 2% and 48,9%. Typical Case Case 1: a few days ago, reporters at Peking University First Affiliated Hospital, Center for an interview to see a middle-aged male sufferers. According to the patient Readme: 6 years ago, was diagnosed with type 2 diabetes. Illness has been taking glibenclamide, phenformin and some other traditional Chinese medicines (name unknown). The beginning of normal sexual function prevalence over the past two years, although the feeling of sexual function has decreased, but basically every time the completion of "task." But the past six months, the situation is a big difference, because the penis can not be an erection, do not have the husband and wife life. When asked whether there morning erections, the patient said that occasionally a slight erection phenomenon. After examination, fasting and postprandial blood glucose normal. Ophthalmoscope, it was discovered there have been retinal microvascular tumor. Doctors initially thought he belongs to mixed impotence (both cause hardening of the arteries, but also psychological factors). So, the doctor told him that he better blood glucose control under the premise of an appropriate application of drug therapy and India, and suggested that he go and see a psychiatrist. Before he left, the doctor encouraged him, said: "You just adhere to the scientific formal treatment, or can restore sexual function." Case 2: Kim A, M, 56 years old. Appears weakly, listless look, the reporter thought he was suffering from a serious illness, the reporter approached the chatting, before we know him because they made a special trip to come to India for medical treatment from the Jilin Province. Mr. King diabetes three years, suffering from ED more than a year, has to take Liu Wei Di Huang Wan, male-bao, three kidney pills, royal jelly, etc. not bear fruit. Recently they consciously heavy legs, and even accompanied by mild swelling of the legs, dizziness, weakness and other symptoms, diagnosis and treatment of last resort, came to Beijing. The laboratory examination revealed that his fasting blood glucose of up to 15,7 mm. I / L, urine (+++), and merge have high blood pressure, blood lipid disorders, coronary heart disease, kidney disease (urine protein + +) and so on. The doctor, after a sigh: "I too late for a long time due to poor control of blood sugar has been associated with a variety of complications, to restore sexual function is hard." Case 3: Mr. Wang is a company staff, 40-year-old, recently had intercourse with his wife often feel powerless, the penis, "to cite but not kin," and even "do not move." Self-righteous impotence due to aging, they go to private clinics to buy a lot of "aphrodisiac" to take, but the results were minimal, and accordingly to a hospital specialist outpatient consultations. Experts recommended that its check out blood sugar, turned out he was due to diabetes caused by ED, that he had a concurrent ED was only diagnosed with diabetes. So, why diabetes does cause ED? Professor Lu Juming pointed out: Most of diabetic ED is due to nerves, blood vessels, psychological, hormonal and other factors, but also with patient's age, duration of diabetes, blood glucose control is not so good close. Survey shows that although the ED in diabetic patients with a high incidence, but the treatment rate is very low. Therefore, when diabetic patients found to have ED tendencies, we must promptly to a regular hospital for treatment. Doctor Guide Diagnosis chapter Some people say that ED is second only to blindness and amputation of the third-largest disabling disease, and diabetes is a great influence on male sexual function diseases. India can seriously affect the quality of life of men with diabetes, so treatment of diabetes, for ED should be concerned about the issue. In order to facilitate self-evaluation of male diabetic patients have functional status, Professor Lu Juming recommended to sufferers of a self-test table, and hope that through the self-test found to have ED sufferers opt for the latter promptly went to the regular hospital for treatment. Rating Standard: A: 0 points; B: 1 points; C: 2 points; D: 3 points; E: 4 points; F: 5 minutes. 0 ~ 7 minutes: severe ED; 8 ~ 11 points: moderate ED; 12 ~ 21 hours: mild ED. If its score is less than or equal to 21 time-sharing, suggesting that you may have been combined in ED. According to Peking University First Hospital, Center for Pan Tian-ming, director of physician presentations, neuropathy caused by diabetes and arterial disease in diabetic ED is the most important factor. In addition, 10% to 30% of diabetes patients who also suffer from high blood pressure, but hypertension and ED significant correlation, and the majority of patients have to take anti-hypertensive drugs may be complicated by ED. Diagnosis of diabetic ED mainly includes the following areas: history taking, physical examination, laboratory tests and special inspections 1. Medical history questions: In patients with diabetes to understand the time course of the disease through blood sugar control as well as other complications caused by diabetes, and so on. 2. Physical examination: Understand the patient's health and reproductive systems of the body. Also, check around the anus feeling sphincter tension, bulbocavernosus reflex and so can provide a reference of diabetic neuropathy. 3. Laboratory examination: Including hematuria routine, lipids, blood pressure, diabetes, liver and kidney function and a series of checks in order to understand the control of diabetes, conditions and whether the abnormal lipid metabolism. 4. Special Check: (1) The determination of penile erection at night: the penis during sleep on the sets of a hardness tester for the determination of nocturnal penile erections. In general, patients with pure psychogenic ED is a normal nocturnal penile erections, but by vascular or nervous system diseases caused by ED patients had no shortage of night-time erections or erections. This examination identified psychological or organic ED are important. (2) vascular erectile dysfunction examination: In the organic E mouth, due to penile blood vessels (arterial and venous) lesions caused by 50% ~ 60%, in order to understand the function of penile blood vessels in general use: ① color multi - Doppler ultrasound penile blood flow: determine whether the penile arteries and veins pathological changes in order to identify the cause of ED. ② penis perfusion and angiography: You can understand the penis lesions and venous leak. (3) The neurological examination of penile erectile dysfunction: penile sensory threshold, such as the determination of bulbocavernosus reflex latency measurement, cavernous electromyography, in order to understand the diabetic neuropathy. In addition, some patients with ED may be due to lower testosterone levels caused by a doctor needs to know the content of testosterone in plasma of patients, if the testosterone level is too low, then the ED may be caused by hormone problems caused by diabetes rather than the cause. To this end. People's Liberation Army 305 Hospital, Department of Endocrinology, deputy director, director of Chu Kai-thinking physicians recommend a user-friendly self-test method, an initial diagnosis may provide the basis for patients with low testosterone levels. Prevention articles Many diabetic patients both in the investigation, said: "prefer to have other complications, even if it is more painful and more dangerous complications, do not want to get ED". ED can be seen on the minds of male patients have a strong impact. Chu Kai-Si, director of the view that in the ED of prevention, if early detection of diabetes, and active control of blood sugar, ED will help to significantly reduce the incidence and severity. However, if it has been that there is no irreversible severe ED lesions, the current recommended first-line treatment drugs Viagra (commonly known as Viagra) and other drugs, effective for about 50%. Diabetes prevention in patients with clinical loss of libido and ED, mainly from four aspects: First, emotional conditioning. 90% of the pent-up emotions of serious men with diabetes will be merged with ED, that mental stress in patients with diabetes is the leading cause of ED occurs. The second is to the optimal level of blood glucose control: fasting blood glucose 4.4 ~ 6.1mmoI / L, glycosylated hemoglobin is less than 6.5%. 3 To protect vessels and nerves, and actively prevent complications. 65% of ED patients with diabetes mellitus complicated with neuropathy, 70% of the merger with atherosclerosis. 4 is to avoid the use of which may cause or aggravate ED drugs. In addition, some diabetic patients with ED psychological pressure, the patient's wife should give them more care, and her husband on the issue of honesty, mutual respect and understanding of the exchanges, do not blindly blame, sarcasm, irony, humiliation her husband, this can only create a vicious circle.
Saturday, September 5, 2009
ED used with caution in diabetic impotence drug
From the ancient aphrodisiac to today's all kinds of sexual health care products, impotence help from the secretive nature of medicine has been unable to see the people, and now openly into the homes of ordinary people. Diabetic erectile dysfunction (ED) patients with the face of the spread of the market aphrodisiac type of health products may now be a tough spot, at a loss. To this end, reporter an exclusive interview with Chinese Medicine Research Institute specifically male subjects Professor Guo Junfu. Just near the Buhuozhinian of Mr TUNG, diagnosed with diabetes has nearly 10 years. Despite the years, Mr Tung is a loving husband and wife are Canada, but recently Mr Tung's forehead has been unable to stretch. Harmony of the original bed of the first Huan, he became more and more inadequate, and the expression of disappointment from his wife, he felt an unprecedented unrest. So he secretly sexual health products store bought the impotence drug, the beginning of a period of time effect is very obvious, but, after several times, no matter how hard sex life and then completely failed. Helplessness the occasion, he walked into Professor Guo's Clinic ... ... Almost every day, Guo professors into one or two surgeries would be similar to Mr Tung's patients. Professor Guo told reporters: TUNG such as to buy their own sexual health products, Chinese patent medicines for the treatment of diabetic kidney impotence ED approach is very inappropriate, not only a waste of money and delay the treatment of the disease, to patients caused great mental burden. Traditional Chinese Medicine the human body is divided into heart, liver, spleen, lung, kidney five internal organs, kidney and the main reproduction, therefore, belongs to reproductive organs (male reproductive organs is called yang device) disease, are associated with the kidneys, so men, erectile function in the event of a barriers would often be understood as "kidney deficiency is a kidney deficiency, yang (fire) virtual", leading people to have "ten men eight virtual" theory. Results "kidney deficiency" disease, the term has become synonymous with male sexual function. A matter of fact. "Kidney deficiency" is just one of TCM syndrome and erectile dysfunction is a disease. Even if sexual dysfunction is because the "kidney deficiency" caused by, but also identifying the "Yin" or "yang." In contemporary complex social environment, intense competition, high-intensity pace of life, bad habits have become middle-aged male sexual dysfunction can not be ignored factors, hypertension, diabetes, hyperlipidemia (lipid disorders), etc. elderly men with chronic diseases are a major factor in sexual dysfunction. Therefore, from the etiology of speaking, the room is not the main reason for labor over loss, and the change is the emotional crux of the main. Diabetic patients had erectile dysfunction, in addition to organic causes of disease, there are also large part because of psychological factors. If the long-term high blood sugar has placed in patients with penile blood vessels, nerves occurred in organic disease, impotence drug overdose would like Jiezeeryu increased the level of patients with erectile dysfunction and diabetes. In the case of abuse may also occur such as cardio-cerebral vascular accident. Professor Guo pointed out that not only should be used with caution in patients with diabetic ED aphrodisiac, that is, healthy men must not be taken lightly. Currently on the market for impotence type of health products has reached the point spread, "the world men are the kidney, and who is eating who knows" and other ad language is full of strong temptation, attracting the attention of many men, however, in advertising behind, the real situation is: A lot of erectile dysfunction health products containing the chemical synthesis of medicines and uncertain elements that may affect patients and health; fake and shoddy products very hard to detect, after oral intake and may even life-threatening. In addition, a number of impotence health products, there is a class of erectile dysfunction product, it is animal genitalia - whip: Since ancient times, people always think that the whip has aphrodisiac food animals Kidney magic. Common are dogs, cattle, deer, donkeys and other whip, there is also known as the whip in Need of tiger penis, sea Goubian. A lot of male impotence whip placed on these high expectations, in fact, "food animals can whip the role of impotence" After a long time has been greatly exaggerated from generation to generation since. May have been a variety of whip type male hormone, but not necessarily be able to be absorbed by the body. When a reporter asked about the possibility of diabetic patients with ED taking Warming of kidney-yang of Chinese medicines, Guo Professor ED in diabetic patients with long-term use of drugs Warming kidney-yang, not only had no significant effect, but also affect the hypoglycemic drugs on blood glucose control . Positive multi-temperature dry traditional Chinese medicine, can Shangyin gas consumption, while the main pathogenesis of diabetes is the Yin-chun, a loss, hot flashes Piansheng, and in order to Yin-centered, hot flashes as a standard, involving the liver, spleen and kidney. If the long-term large-scale application is not only apt to cause impotence drug tongue sores, bleeding gums, dry mouth and other adverse reactions, but also inhibit male hypothalamus - pituitary-testicular axis of the excitement and increased erectile dysfunction. Diabetic erectile dysfunction are mostly chronic illness caused by blood stasis, blood stasis syndrome more common, while Qiyin this is true, and the Qi to stay dirty, Yin blood stagnation. Clinical manifestations of fatigue, lack of energy, backache, tongue, dark dull red or pale, thin veins of the levy such as phlegm and blood stasis blocking each other, phlegm and blood stasis blocking blood perfusion in the liver and renal vein ribs were negative an extent which rendered Yang things do not move. Treatment should be stressed that individual: first, to control the primary disease, or diabetes. In addition, to distinguish patients with the combination of syndromes, from "the liver, kidney, spleen and the" three sources to start, pay attention to the dynamic changes of Yin and Yang Deficiency, using Ziyin Tianjing, Shenyang moist ask at any time to adjust drug dosage to achieve the precise Sheng Yang strong purpose.
Friends of the sexual health of women with diabetes
Of one adult for every indispensable part of life, but also an important part of healthy living. Married men and women regardless of diabetes sufferers will experience sexual problems, sex life process does not increase the diabetes. As long as patients have attention to the relevant issues, strict control of blood glucose, blood lipids, blood pressure, etc. can be a normal sex life is entirely possible and normal, like love, marriage, having children. However, when severe diabetic complications, then the health of the spouse to be understanding of the patient, not forced to act, or adverse effects may occur. 1. Many women with diabetes sufferers have a sexual dysfunction. Almost all married women are the mistake of "sex life disharmony", the female patient's problem does not seem more than non-diabetic women. However, if the blood glucose level is not well controlled, women sufferers often vaginal dryness, and anaerobic infection. Although many people believe that problems difficult to speak about, but in order to improve your quality of life, with problems or should talk to your doctor in order to get help. Female patient's sexual dysfunction is mainly reflected in the vaginal dryness, painful intercourse, decreased libido and lack of orgasm and so on. 2. Vaginal dryness is a common complication of diabetic women. Are mostly due to vaginal dryness caused by low levels of sex hormones, and the resulting pain during intercourse. Once the symptoms of vaginal dryness, first, a doctor should be reported by doctors to determine hormone levels is low, consider whether to adopt hormone replacement therapy. Hormone replacement therapy can increase vaginal lubrication, its oral drug delivery methods can be used, injections in the form of injections or vaginal ointment. Need to be reminded that: use of hormone replacement therapy must seek a doctor's consent, not given a free hand. If you have already spent menopause, or other reasons not to use hormone replacement therapy, you can use vaginal lubricants. Subject to remember: In the use of vaginal lubricants must consent before a doctor's consent. 3. Prevention of female sexual dysfunction, first blood glucose control compliance. If the diabetic women, poor blood sugar control is easy to cause vaginal inflammation, and can lead to temporary, but often can be corrected to avoid sex, sexual intercourse or vaginal pain, spasm and so on. With vaginal inflammation of the sufferers should be rational use of drugs, a thorough treatment of vaginitis: the emergence of female patients have atrophic vaginitis may be appropriate to oral estrogen (for example, nylestriol tablet, etc.), can also be used vaginal lubricants. When the blood glucose control compliance, vaginitis, after cure, the symptoms will disappear. 4. Note that sexual activity caused by low blood sugar. Arousal, a prelude to sexual intercourse. Intercourse and orgasm are the need to consume energy activities. According to the duration of sexual activity, sexual response and orgasm of duplication, some need to consume 600 kcal of energy. If the start of sexual activity and normal or low blood sugar, and the stomach does not maintain a sufficient additional energy, then the tension of sexual activity may cause low blood sugar. Low blood sugar is not only harmful to our health and possibly life-threatening. If a woman after sexual activity did not check blood sugar and added sugar stocks immediately fell asleep, and that there may be life-threatening. Reduction of sexual activity lead to low blood sugar reaction is the best way to replenish their energy before going to bed to eat a little food, or after sexual activity decreased blood sugar to take the necessary measures. Sexual activity after eating some fruit and bread may be the best solution. 5. Of marriage, birth of a few tips. (1) selecting a spouse married to: diabetes, although not one hundred percent of genetic diseases, but either type 1 or type 2 diabetes, there are some genetic factors exist. Therefore, the best choice for the other family of people without diabetes marriage in order to reduce the risk of the next generation of diabetes. (2) have children: women with diabetes sufferers control blood sugar stable is to ensure that pregnancy and childbirth safe premise, if pregnant, have to go to the hospital the doctor to do a comprehensive and detailed pre-pregnancy and prenatal care to understand the severity of the current diabetes, in order to determine whether time to pregnancy and childbirth, and ways. In addition, the late Early Health better, because as the extension of course, complications will gradually increase, as well as increased risk of pregnancy and childbirth. (3) gestational diabetes, if blood sugar is too high will cause the fetus to produce too much insulin, so glucose stored in the fetus caused by macrosomia in the future endless troubles. (4) To ensure the safety of mother and child, pregnancy and lactation can not use oral hypoglycemic agents. After adjusting for diet and appropriate activities are beyond the control of high blood sugar, should be actively use insulin, blood glucose control to ensure compliance. At the same time, blood glucose monitoring should be strengthened in order to avoid low blood sugar, low blood sugar can cause stillbirth. (5) during pregnancy and lactation to go to formal endocrine or maternity clinic in order to ensure the smooth progress during pregnancy. When the cessation of breast-feeding, based on the specific circumstances before deciding on treatment.
Friday, September 4, 2009
ED: diabetes alarm signal
Diabetes can cause erectile dysfunction (ED), in turn, diabetes, ED is often a "warning signal." Abroad data show that diabetes is the most common organic cause of ED, compared with the general population, diabetic patients more susceptible to early-onset ED. According to statistics, 18% of men with diabetes suffer from varying degrees of ED, 10 years or more of people with diabetes more than 50% of the people took place ED. ED can be the first symptom of diabetes Diabetes can cause damage to the body capillaries and nerve endings, the same could result in penile blood vessels, nerve damage, leading to ED. The occurrence of diabetic ED is progressive in nature, usually to a certain stages of the disease, but sometimes may also be diagnosed with diabetes before the first symptoms appear. Clinical 12% of patients are discovered because of ED treatment of diabetes, mainly for erectile dysfunction, will not be strong, loss of libido, Chen Bo, reduced sexual responsiveness decreased significantly. Therefore, the clinical examination is often recommended in patients with ED blood glucose to diabetes screening. ED patients with diabetes is often organic in Diabetic sexual dysfunction caused by the relevant risk factors are: early age at onset, longer duration, insulin-dependent diabetes, poor blood sugar control, severe alcoholism, smoking and so on. Currently considered sexual dysfunction caused by diabetes, the main mechanism for the penile artery stenosis, occlusion of small arteries and corpus cavernosum albuginea defect. At the same time, ischemic damage can be so dominant peripheral nerve damage penile erection. In addition, studies have reported that patients with diabetes gonadotropin luteinizing hormone (LH) increased serum total testosterone and free testosterone decrease, suggesting late-onset hypogonadism. Help to reduce testosterone levels may affect penile erection nitric oxide synthase activity, also affect the penile erectile function. At the same time, a lower level of testosterone can also cause insulin resistance, resulting in blood glucose control difficult. Many diabetic patients of long-term difficulties because of illness, can occur depression, anxiety symptoms, caused by excessive sympathetic tone and increased sexual dysfunction. Over time, in the extreme state of corticotropin-releasing excessive, and subsequently to suppress pituitary function, resulting in hypogonadism. Active treatment of diabetes contribute to ED Rehabilitation Male diabetic patients with ED, it should be in the formal treatment of diabetes on the basis of aggressive treatment of ED. Many patients with diabetes due to loss of libido, sexual dysfunction treatment is not a strong desire. However, sexual dysfunction in patients with diabetes treatment is very necessary. Moderate sex life can improve the marital relationship, building a harmonious family, which also help ease the patient due to chronic disease caused by depression and anxiety symptoms. Moderate sex life can delay caused due to diabetes, gonadal and the occurrence of neurovascular disease. Gonadal also help to correct the level of blood sugar control. Overseas studies have reported that in obese men with diabetes for 3 months of testosterone treatment, the results of this group of patients with fasting blood glucose, postprandial blood glucose and glycated hemoglobin decreased significantly. Commonly used treatment for ED which ED treatment of diabetes There are many ways. First, starting from the prevention and treatment of diabetes, such as diet, smoking cessation, drugs control blood sugar, regular exercise and decreased alcohol intake and so on. The severity of diabetic ED and diabetes duration and glycemic control has a strong correlation. Now widely used in clinical preparations of testosterone and phosphodiesterase type 5 inhibitors (PDE5 inhibitors) is an internationally recognized effective treatment for ED drugs, under the guidance of a doctor to use, can significantly improve the patient's sexual function, improve patient quality of life. Testosterone preparation: At present, the market is the introduction of more extensive oral preparation Andriol testosterone undecanoate. Through the male hormone replacement therapy for men testosterone deficiency symptoms, physical and mental health and sexual desire, bone density, fat, fat generation and distribution, the incidence of cardiovascular disease could be improved. Phosphodiesterase type 5 inhibitors (PDE5 inhibitor): the process of sexual stimulation through the penis to maintain and supply of vascular smooth muscle cells CGMP levels sufficient to increase the expansion of the cavernous sinus, thereby enhancing erectile function. Now listed three PDE5 inhibitors, including sildenafil (Viagra), tadalafil, and vardenafil. For the serious organic disease has occurred in patients with ED, it may require testosterone supplementation PDE5 inhibitor, if necessary, feasible, penile prosthesis implantation.
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