This podcast is for you, the Modern Man. I'm Dr Anne Truong,

your host. I'm an intimate health medical doctor and best

selling author of the book, Erectile Dysfunction Fix. I'll

do a deep dive into sexual health and performance and how

it affects men of all ages and backgrounds. So let's get

started, and be sure to visit my website at

sexualhealthformenpodcast.com for more information and

resources from the show. See you on the inside.

Hello there, Modern Man. I'm Dr Anne Truong. I'm a sexual

medicine specialist. I've treated over 7000 men with ED.

In today's episode, we're going to talk about why diabetes is a

major risk factor for ED. Stay tuned to the end, we're going to

dive into why that is and if you're a man that has diabetes,

you need to listen to this episode.

So diabetes is a significant risk factor for ED due to its

systemic effect on the body. The relationship between diabetes

and ED involves multiple mechanisms. Let's dive into it.

Number one, there is vascular damage. High blood sugar level,

that's what diabetes is, that your blood sugar level is high

when you're fasting, but high blood sugar itself damages small

blood vessel a condition called microvascular disease, and this

impairment causes the penile artery to have decreased blood

flow, which means that iy is impairing the ability for the

penis to have an erection. So it causes microvascular disease,

and therefore less blood flow. Additionally, you're kind of in

a bad situation if you have high cholesterol and high

triglyceride, which are two bad cholesterol, which are commonly

occur if you have diabetes. There's three things that occur

usually together, diabetes, high blood pressure and high

cholesterol, and they usually occur because of diet as well as

lack of exercise. So to summarize, diabetes causes ED

number one is vascular damage.

Number two is nerve damage. Diabetes often lead to

neuropathy or nerve damage and this saffect the nerve that is

in the arms and in the leg, and normally affect feet and the

hands first. Nerve is essential for sexual stimulation and

erection, and the damage to the nerve can disrupt communication

from the brain to the penis, making it difficult to achieve

an erection.

Number three, endothelial dysfunction. Diabetes have

impairment of the endothelium, which is the lining inside the

blood vessel. Imagine the blood vessel like a pipe, and the

endothelium is a thin lining, one cell layer lining that is

inside the blood vessel, and the blood vessel is held together

because of the endothelium, and the high blood sugar reduce the

ability of the endothelium to relax, and when it cannot relax,

it cannot allow more blood flow to the penis. So that's why this

contributes to poor blood flow to the penis.

Number four, hormonal imbalances. Men with diabetes

experience lower testosterone level, a condition called

hypogonadism, which can reduce libido and increase or

exacerbate ED, testosterone deficiency, particularly

prevalent in men with type two diabetes. So it's interesting

that men with type two diabetes tend to have more incidence of

ED than men that have type one diabetes.

Now number five, oxidative stress and inflammation. Chronic

high blood sugar level leads to increased oxidative stress and

inflammation. Imagine oxidative stress like a free radical, it

damages tissue. Inflammation, imagine it as fire in your body.

It's just fire. You're not supposed to have fire in your

body. You're not supposed to have more imbalances. Imagine

that. That's what inflammation is, which then when that happen

when you have oxidative stress, inflammation, it damages the

vascular or the blood vessel and the nerve tissue, and that lead

to actually less nitric oxide production, which is critical

for the blood vessel to open, and it actually leads to

increased incidence of prothrombotic factors, or

increased incidence of blood clotting, which then worsen

blood flow issue as well. So, you don't want oxidative stress

and inflammation. But in diabetes, you tend to have this.

Okay, Modern Man, you are not alone and you don't have to

suffer anymore. ED can feel isolating, frustrating, and even

defeating. The endless guessing, the quiet shame, the weight of

not feeling like yourself is exhausting. But here's the

truth, you are not broken. You are not alone. You don't have to

figure this out alone anymore. The Get Wood Now Boost Program

is your step by step, path to sexual confidence and

restoration. No more suffering in silence, no more trial and

error, just real solution, real result and the confidence you

deserve. It's time to take back your power on your term. Let's

get this journey started together. Check out the course

at getwoodnow.com. I'll see you there.

Number six, psychological factors. Diabetes is often

associated with stress, depression and anxiety, which

then contribute to ED, affecting mood and sexual desire. And it

compound that the psychological component with the physical

component, it makes it a pretty unpleasant situation for men

with diabetes. So diabetes cause the vascular damage, the nerve

damage, the hormonal imbalances and the oxidative stress, and

then, along with the psychological factors as well,

make ED more prevalent in men with diabetes, especially those

who poorly controlled blood sugar level. Poorly control,

meaning, if your hemoglobin A1C is eight or more, I see men who

are in 10 or more, and the longer you have diabetes, the

worse the condition.

So managing your diabetes through medication and diet,

such as the Mediterranean diet and exercise, can really improve

your erection and reduce the risk of ED. So don't forget,

diet exercise, but also use the penis pump. It can bring in

blood flow to the penis as well as oxygen to the penis, and it

helps with preventing atrophy. In fact, studies have shown that

men with diabetes using the penis pump can be very

effective, at least up to 70% effectiveness. Now another thing

to consider is that a man with diabetes is 3.5 times more

likely to develop ED than a non-diabetic man. And type two

diabetes is a condition that you acquire as an adult and type one

diabetes is when you're born not having the ability to release

insulin from the pancreas. And interestingly, men with type one

diabetes have about a 38% chance of getting ED, while men with

type two diabetes experience 67% chance of getting ED. So if

you're diabetic, and most of us are type two diabetic, know that

you have 62% chance of getting ED. Now, if you work on your

diet, mainly following the Mediterranean diet, and just

incorporate walking into your routine, you will actually

decrease your blood sugar level, decrease your hemoglobin A1C and

probably be able to get rid of your medication, and that would

positively impact upon your bedroom performance. I've seen

many of my patients who are type two diabetic, started the

Mediterranean diet, started walking on a regular basis. I

have seen their hemoglobin A1C go from eight to seven to 5.6

and then they eventually get off of their diabetic medication

along with their cholesterol medication, even their high

blood pressure medication as well. So win, win, win, and all

it does is just really following the Mediterranean diet and

exercise routine and being consistent with that. So

managing your blood sugar not only help with your diabetes,

but will help with your heart health and your ability to have

your better improved bedroom performance and also longevity

as well too, because it help you live longer with less

psychological dysfunction such as depression and anxiety. Win,

win, win all the way. And honestly, the Mediterranean diet

is pretty easy to follow. Check out the Mediterranean diet guide

here for you for free. Check it in the description in the banner

you see here as well.

And so just know that there are alternative to ED. You do not

have to suffer in silence. If you're a man with diabetes, just

know that you can control your diabetes. You can even get off

of your diabetic medication if you just follow the

Mediterranean diet and exercise. I know it's hard. I know that we

live busy life. But if you make it a priority, and you be

consistent with it, you will see an improvement. We have seen men

improve their erection within like about months or six weeks

of changing their diet and incorporating exercise into

their daily life. So you don't have to suffer silence. There

are alternatives. That's why I created the Get Wood Now Boost

course for you to follow, to get out of ED, to start following

the step to get sexual performance again. Check it out

at getwoodnow.com. And we also have a community where men with

ED, we work together with myself as your coach to get sexual

confidence again. Check that out also at noedman.com. So I'm here

as a resource for you. You do not have to be alone. Let's work

together to get you out of sexual dysfunction to sexual

function again. See you in the next episode.

Okay, Modern Man, you are not alone and you don't have to

suffer anymore. ED can feel isolating, frustrating, and even

defeating. The endless guessing, the quiet shame, the weight of

not feeling like yourself is exhausting. But here's the

truth, you are not broken. You are not alone. You don't have to

figure this out alone anymore. The Get Wood Now Boost Program

is your step by step, path to sexual confidence and

restoration. No more suffering in silence, no more trial and

error, just real solution, real result and the confidence you

deserve. It's time to take back your power on your term. Let's

get this journey started together. Check out the course

at getwoodnow.com. I'll see you there.

Thanks for listening to the Sexual Health for Men Podcast.

If you love this episode, then please take a screenshot on your

phone and post it on Facebook, Instagram, or wherever you post,

and be sure to tag me and let me know why you like this episode

and what you like to hear in the future. That will help me know

what's great for you and I would love to give you the most

incredible free gift designed to help you improve performance

quickly. Go to my website at sexualhealthformenpodcast.com to

get the book, The Five Common Costly Mistakes Men Make When

Facing ED. I would appreciate if you subscribe, leave a review on

Apple podcasts or wherever you listen. And just know that you

can have sexual vitality for life. I appreciate you until

next time.