The same elevated blood glucose levels that cause blood vessels and nerve damage in other parts of the body can also lead to complications in blood flow and nerve damage to the penis. Heart disease and diabetes are often linked together because coronary artery damage is a complication of diabetes as well. Coronary artery disease can affect sexual function on its own, but erectile dysfunction is nine times as likely in men who suffer with both coronary artery disease (CAD) and diabetes, than men who have diabetes without the addition of CAD. Erectile dysfunction is so prevalent in both coronary artery disease and diabetes, that it could be considered a risk factor for both. If a man is suffering from ED, his doctor should suggest screening for CAD and diabetes.
The longer a man has had diabetes, the more likely he will suffer from ED. Also if blood glucose levels have not been well controlled throughout the illness, blood vessel and nerve damage will be greater. Complications of accompanying heart disease such as high blood pressure and high cholesterol can also affect ED. A man with diabetes who also smokes increases his risk of developing ED.
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