complication of diabetes ,,, the importance of prevention and treatment of the disease
The latest medical statistics indicate that the incidence of diabetes is steadily increasing year after year, and that complications from this disease are early than usual a decade or two ago. Many scientific studies also indicate that impotence has become one of the most serious complications of diabetes because of the psychological and social problems that it entails and a threat to family safety.
How does diabetes affect sexual ability and ultimately lead to weakness?
Is impotence as a result of diabetes limited to males or do females suffer from impotence as well? How can prevent ED in people with diabetes?
These critical and important questions that lie in the minds of everyone who suffers from diabetes, and does not dare to direct them to his doctor, transmit "your health" to one of the doctors interested in this field, Dr. Nasser Raja Allah al-Juhani: a consultant of internal diseases and endocrine glands director of the Al-Thaghr Hospital in Jeddah and head The Sub-Executive Committee of the Saudi Society of Endocrinology and Metabolism in Jeddah, so he confirmed at the beginning that there is hardly a home at the present time in any society in the world, unless there is a person suffering from diabetes, and that statistics show that Saudi Arabia is one of the most prevalent countries in the world of disease Diabetes, where the prevalence of this disease is about 25 percent after the age of thirty. The reasons for this are due to the negative lifestyle that the individual has become in the Kingdom in addition to the genetic factors.
He pointed out that there are studies that indicate a high percentage of people with ED as a result of diabetes, and that impotence occurs about 10 * 15 years earlier than the rest of the patients, and that more than 50 percent of those over the age of fifty have diabetes, and this percentage increases with Age increases, up to 90% after the age of seventy.
Complicating matters is the fact that a large number of people with ED do not disclose their condition to the treating physician, delaying the opportunity for diagnosis and treatment at an early stage. This matter can result in psychological pressure, tension, depression and lack of self-confidence, which disturb the marital life and lead to family disintegration.
Dr. explained. Nasser al-Juhani that many men resort to the use of non-medicinal preparations in an attempt to overcome this condition, and the most common of these products are tablets, sexual stimulation creams and some herbs. These are undoubtedly wrong behaviors, as some of them may pose a health risk because of the side effects they are not documented scientifically.
From this standpoint, the role of family health education, especially the wife, comes about the importance of encouraging and supporting the person with ED to seek medical advice and obtain early treatment.
Diabetes affects the sexual ability of men and women? Dr. continues Al-Juhani said that there are several factors that may cause a diabetic patient to develop sexual weakness, including its effect on the psychological side of the patient, where the person feels frustrated and depressed as a result of the disease, linking the occurrence of the disease to sexual weakness, as high blood sugar causes damage to the blood vessels of the nerves feeding the penis And it may also lead to a decrease in the male hormone, as some diseases associated with diabetes, such as obesity, high blood pressure, impaired kidney function and high blood cholesterol, may lead to hardening of the arteries supplying the penis and causing impotence. Smoking is also considered one of the main causes of impotence due to the narrowing of blood vessels and reducing blood flow to the penis.
Impotence of men. Male impotence or erectile dysfunction is defined as a state of inability to obtain or maintain an erection necessary for sexual operation, and is currently considered one of the most common complications of diabetes. The erection process begins with the presence of a source of appropriate sexual arousal in the brain, which in turn sends electrical signals through the nerves feeding the penis, which drives blood flow in the penis, erect and the penis becomes larger and stiffer, and produces what is known as the erection necessary to complete the process of sexual intercourse.
Impotence of women. Women with diabetes may experience symptoms of impotence, but it is less than the man’s suffering, in terms of feeling pain during intercourse with the husband, the unwillingness to complete the sexual intercourse due to genital infections, nerve and blood vessel damage, and the effect of diabetes on the psychological aspect of the injury.
On the prevention and treatment of impotence caused by diabetes, dr. Nasser Al-Juhani has the following tips:
Control blood sugar within the normal limits and follow-up with the attending physician regularly, it has been proven that it contributes significantly to preventing or reducing the chances of impotence.
Investigate the secondary causes of impotence by doing some medical exams.
stop smoking.
Paying attention to the psychological aspect and avoiding the factors of anxiety and stress and the wife''s participation in treatment and her understanding of the psychological pressures and life patterns that led to this.
Sports and eating a healthy balanced diet and lose weight if excess, obesity may reduce the secretion of the male hormone in the body and may lead to sexual weakness.
The use of impotence medications according to the doctor''s prescription, with confirmation that they are used only with direct medical supervision.
There are many medications that can be used with cases of impotence, the most common of which are oral medications, and their types are many, and they stimulate the blood circulation of the penis. There are also local injections, which are placed in the penis and in certain cases, such as late diagnosis. Treatment may be with surgery, such as implantation of the prosthetic device or the suction device.
There are other complications of diabetes related to impotence, as diabetes affects important and vital organs in the body, such as the kidneys, heart, arteries and nerves, which are related to impotence.
There are also many complications of diabetes related to human life in other aspects, such as the eyes and the lower extremities. And all the complications of these vital organs need to do a set of medical examinations and analyzes required by the physician periodically to diagnose it early, and then prevent or reduce damage in these organs.
The kidneys. The kidneys are important organs in the human body that filter the blood from impurities and toxins. Diabetes may lead to kidney failure, and therefore to the need for regular or continuous washing or "dialysis", so a periodic examination of kidney function, blood analysis and determination of albumin in the urine should be done, as it should Also treat blood pressure to avoid side effects on the kidneys.
Heart and arteries. Diabetes, especially type II, is usually associated with weight gain, high blood pressure, and high cholesterol, all of these things combined may lead to angina, and may affect capillaries, which leads to gangrene in the foot, and thus amputation. This can be avoided by regulating sugar and adhering to a low-cholesterol diet, exercising regularly, controlling blood pressure and refraining from smoking.
Nerves. Diabetes may affect nerves in separate parts of the body, as the patient complains of burning and pain in the legs and numbness or lack of feeling in the feet or hands, which leads to wounds and ulcers in the legs.
Diabetes may affect the automatic nerves that supply the digestive and urinary system and blood circulation, leading to diarrhea, constipation and nausea, especially after eating, and may cause urinary retention or a feeling of smoke when standing up.
To avoid these complications, the diabetic must maintain the level of sugar in his blood and take care of the examination and cleanliness of the feet.
