By Michael Bryer-Ash
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Additional info for 100 questions & answers about diabetes
In light of the three strikes of diabetic nerve damage, vascular damage, and diminished levels of male hormone, it is not surprising that poor sexual performance and diminished satisfaction are a frequent finding in men with diabetes. Indeed, more than half of all men with type 2 diabetes of five or more years’ duration will complain of one or more symptoms of sexual dysfunction. Sometimes this is worsened by medications commonly used by people with diabetes, such as certain blood pressure-lowering drugs.
The most striking example of this is bariatric surgery, which has been shown to reverse diabetes and to do so for several years, being effective as long as weight reduction is maintained. This is further discussed in Question 5. Exercise works by making the body more sensitive to the actions of insulin and also by using up stored energy in the exercising muscles. The muscles then replace this energy by pulling in glucose and other sources of energy from the bloodstream. QXP 1 0 0 10/7/09 Q U E S T I O N S 10:53 AM & Page 51 A N S W E R S A B O U T D I A B E T E S The longer diabetes has been present, the less effective diet and exercise are likely to be as treatment.
Cholesterol also takes on an inflamed form, enters the lining of the blood vessels, and attracts still more inflammatory cells from the bloodstream, setting the stage for serious damage. Peripheral vascular disease Diseases of the vessels in the limbs. Inflammation Swelling, pain, tenderness, and disturbed function in an area of the body, usually as a result of injury. QXP 10/1/09 1 0 0 9:09 AM Page 44 Q U E S T I O N S & A N S W E R S A B O U T D I A B E T E S Other contributors to vascular disease include the fact that high blood pressure results from nephropathy, which further damages blood vessels.