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Treatment Of Erectile Dysfunction
Treatment Of Male Sexual Problems
Treatment Of Female Sexual Problems
Thyroid Problems Treatment
Thyroid Disorder Treatment
Diabetic Diet Counseling
Urinary Incontinence (Ui) Treatment
Pre And Post Delivery Care
Sperm Donor Program
Adult Diabetes Treatment
Type 1 Diabetes Treatment
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Type 2 diabetes is reaching pandemic levels and young-onset type 2 diabetes is becoming increasingly common. Erectile dysfunction (ED) is a common and distressing complication of diabetes. The pathophysiology and management of diabetic ED is significantly different to nondiabetic ED.
To provide an update on the epidemiology, risk factors, pathophysiology, and management of diabetic ED.
Literature for this review was obtained from Medline and Embase searches and from relevant text books.
Main Outcome Measures
A comprehensive review on epidemiology, risk factors, pathophysiolgy, and management of diabetic Erectile Dysfunction.
Large differences in the reported prevalence of ED from 35% to 90% among diabetic men could be due to differences in methodology and population characteristics. Advancing age, duration of diabetes, poor glycaemic control, hypertension, hyperlipidemia, sedentary lifestyle, smoking, and presence of other diabetic complications have been shown to be associated with diabetic ED in cross-sectional studies. Diabetic ED is multifactorial in aetiology and is more severe and more resistant to treatment compared with nondiabetic ED. Optimized glycaemic control, management of associated comorbidities and lifestyle modifications are essential in all patients. Psychosexual and relationship counseling would be beneficial for men with such coexisting problems. Hypogonadism, commonly found in diabetes, may need identification and treatment. Maximal doses of phosphodiesterase type 5 (PDE5) inhibitors are often needed. Transurethral prostaglandins, intracavenorsal injections, vacuum devices, and penile implants are the available therapeutic options for nonresponders to PDE5 inhibitors and for whom PDE5 inhibitors are contraindicated. Premature ejaculation and reduced libido are conditions commonly associated with diabetic ED and should be identified and treated.
Aetiology of diabetic ED is multifactorial although the relative significance of these factors are not clear. A holistic approach is needed in the management of diabetic ED.
Psychosexual counseling in diabetic patient
In order to avoid the problems inherent in the assessment of any organic component of impotence, a consecutive series of 20 diabetics were treated with psychotherapy after a detailed assessment of the psychological components of their disability, 13 patients improved in the long term and responders could not be identified from pretreatment characteristics. However, most of the patients had been impotent for several years and their successful adaptation may have limited the success of psychotherapy. There is a need to identify the impotent patient at an early stage in order to offer more effective treatment. This might also avoid the problems of adaptation and the need for detailed investigations of pelvic nervous and vascular function. The management of ED in the diabetic patient may often involve a multidisciplinary approach where psychosexual counselling and specialist Sexologist advice is required in addition to the skills of the diabetologist. Finally, the introduction of the new oral agents have completely revolutionised the management of ED and allowed more individuals to come forward for treatment.
My dad is suffering with diabetes from 10 years, from 1 year he is becoming too week and thin , he aged 48 years, please tell me remedies to control diabetes.
My creatinine level in April was .9, in november creatinine level increase 1.0,is this any serious problem? Slight pain in legs since 6 days, no any problem ,uric acid level 6.1, talking skin and migraine treatment since 15 days,
I'm married for a year now and I was diagnosed for hypothyroid over 1.5 years ago. I've been taking thyronorm tablets since then. I am experiencing all the symptoms of thyroid including anxiety, changed sleeping pattern, hair loss. I am afraid of infertility. Please suggest a way out of it.
My Wife has diabetics since last 20 years and at present taking insulin mustard 50/50 in morn 30, noon 15, night 25 .at present his sugar remains around 200 in mornings and pp around 250. K kindly advice some better medicine.
Sir I urinate evry morng by 5am in toilet in more qnt after 1 hour I repeats same qnt with bubble formation because of this i lose my sleep every day so yesterday I checked my uric acid in my body by blood test it is more by 4 so how to reduce my uric acid in my body what treatment to take suggest me.
My grand mother is diabetes from last 21year. She is not interested in talking insulin so how it can be control without insulin.
1) Diabetes is curable :
Diabetes is mainly due deficiency of Insulin (hormone produced by Beta cells of pancreas), plus resistance to action of insulin, overweightor obesity and inactivity. Therefore, to treat diabetes we need drugs that initiate insulin secretion, reduce insulin resistance. In some cases insulin itself. Plus dietary control and regular exercise to maintain normal weight or reduce excess weight. Hence it can only be effectively controlled. Cure is not possible.
2) Eating Sugar or Sweets causes Diabetes :
It is incorrect to say that eating sweets and / or sugar causes diabetes. Basically excess food intake will lead to excess production of glucose. That puts excess load on insulin producing cells in pancreas due glucotoxicity. Also due to central obesity the fat around internal organs causes lipotoxicity affecting the beta cells. Therefore, excess food intake in general and weight gain are the reasons for diabetes.
3) Jaggery is better or safe in diabetes :
Jaggery and sugar both are essentially same. Both contain sucrose, as they are prepared from sugar cane juice. Hence eating either of these will increase blood glucose considerably. In jaggery there are some vitamins and a few antioxidants. But both are bad for a diabetic person.
4) Rice should not be eaten in diabetes :
Not really true. Because in south India this is the major or at times only main food. Rice has a high glycemic index so gets converted to glucose rapidly. So polished rice is not good. Brown rice is better. Quantity should be regulated. All other cereals also are converted glucose after digestion.
5)Allopathic Medications Damage Kidneys, so go for either Ayurvedic or Homeopathic Drugs :
In fact diabetes itself affects kidney, particularly the filtering membrane of glomerulurous (a filtering unit in the kidney). Even when diabetes fairly well controlled, kidney does get affected. The drugs used to treat diabetes help in overcoming kidney damage. Therefore it is wrong to think that modern drugs cause kidney damage. In fact some of the other drugs contain heavy metals (Bhasmas), which can be harmful to the kidney.
6) Sugar intake is essential for body :
Some people keep asking that eating sugar is very necessary for getting energy for the body tissues. This is not at all true. Because all the cereals like rice, jowar, wheat, ragi, bajra and other millets, contain starch as the main ingredient. Hence intake of each of these foods provides glucose after digestion. So there is no separate need for taking sugar.
Few things to be remembered and practiced are :
- Always use whole grain flour, as it contains a good amount of biber content for making chapati or roti.
- Consume more of green leafy vegetables and salads with every meal.
- Consider fruits and green leafy vegetables as part of regular snacks
- Take small meals on more number of occasion to avoid glucose surge.
- Avoid Maida and foods made from it. It is probably worst kind of food that one can consume.
- Form healthy food habits.