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.
