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Sexual function in men with diabetes type 2: association with glycemic control.
J H Romeo1, A D Seftel, Z T Madhun
1Department of Medicine, Louis Stokes Cleveland Veterans Affairs Medical Center and Case Western Reserve University, Ohio 44106-5046, USA.
The Journal of Urology
|February 25, 2000
Summary
Poor glycemic control in men with type 2 diabetes is linked to erectile dysfunction. Higher hemoglobin A1c levels significantly correlate with reduced erectile function, independent of other factors.
Area of Science:
- Endocrinology
- Urology
- Diabetology
Background:
- Erectile dysfunction (ED) is a common complication in men with type 2 diabetes.
- Glycemic control is a critical factor in managing diabetes and its associated complications.
Purpose of the Study:
- To evaluate the association between glycemic control and erectile dysfunction in men with type 2 diabetes.
- To identify predictors of erectile dysfunction in this population.
Main Methods:
- A convenience sample of men with type 2 diabetes completed the International Index of Erectile Function (IIEF) questionnaire.
- Glycosylated hemoglobin (HbA1c) levels, disease duration, complications, and medication use were extracted from medical records.
Main Results:
- Mean HbA1c was 8.1% and mean erectile function score was 16.6.
- Erectile function score significantly decreased as HbA1c levels increased (p=0.002).
- HbA1c and peripheral neuropathy were independent predictors of erectile dysfunction.
Conclusions:
- Erectile dysfunction in men with type 2 diabetes correlates with the level of glycemic control.
- Glycemic control, indicated by HbA1c, is a significant independent predictor of erectile dysfunction.
- Peripheral neuropathy also independently predicts erectile dysfunction in this cohort.