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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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Excellent. .such a polite doctor..eager to loud ten to the patients
He is a good doctor and good person.
My mother is patient of diabetes and having always pain its body parts like legs and back need a tip and she is 48years old.
My mother is 69 years old having blood pressure and diabetes. Recently had breathing difficulty so doctors found water in lungs. Her creatinine is 3.6 and haemoglobin is 8.9.please suggest.
I am 52 years old. My insulin (novomix penfill) intake 32units in the night and 28 units in the morning along with zoryl m4 forte in the night and klobizide 5/500 day time. And my sugar levels are 125 fasting and 180 post prandial. How to reduce the medication. My body wt is 86 kgs.
I am suffering from hypothyroidism from 2011 n my TSH level is 12.12 and I also suffered from Alopecia since two months from October I tk 100 mg thyroxine tablet but I put on my weight presently my weight is 78 kgs pls suggest me how I loose weight and control my thyroid thank you.
Am 34 years and am a diabetic I am taking glycomet 500 mg daily. My glucose level is normal shall I continue taking glycomet.
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.