More than half of diabetic men age 50 or older experience some degree of erectile dysfunction. Men with diabetes are three times more likely to experience sexual problems than men without diabetes.
Erectile dysfunction can result from physical or psychological problems. Relationship issues and psychological factors like stress, fatigue or depression can contribute to erectile dysfunction.
Psychological factors can interfere with how the body produces and responds to hormones and can prevent erections from occurring.
Poor blood sugar control and high blood sugars can damage the nerves and blood vessels responsible for erections. This can reduces blood flow to the penis and prevent erections from occurring
Many of the medications that are often prescribed to men with diabetes, can have side effects that cause difficulties with sexual functioning. Medications for blood pressure, depression or anxiety may also contribute to erectile dysfunction.
One test that we use to differentiate physical from psychological causes of erectile dysfunction is called the “stamp test” Three to five postage stamps (from a roll) are looped and around the penis before sleeping. If the penis is capable of erection, it usually happens during REM sleep and stamp perforations will be broken upon awakening