Diabetes and sexual

Diabetes can be a normal sex life, sex life process does not increase the diabetes. However, when severe diabetic complications, then the health of the spouse to be understanding of the patient can not be forced to act, or adverse effects may occur.

Impotence male impotence incidence of diabetes up to 40% to 60%, the symptoms gradually worsened. Initially only penile erection will not be strong, you can ejaculation, there is an orgasm, but also a normal sex drive. With the extended duration of diabetes may eventually develop into complete impotence. Impotence caused by diabetes, with the following factors:

Early blood testosterone and gonadotropins to normal, after the occurrence of pituitary and testicular pathological changes in a corresponding reduction in sex hormones;

Diabetic patients with renal insufficiency or liver dysfunction, neurological degeneration, including the autonomic control of penile erection, the penis because of neuropathy affect the tactile feel, reduced erectile response, peripheral arterial, affecting blood supply to the penis, can also cause impotence; vascular sclerosis, when it comes to penis erection will be affected by a small artery function; the spirit and the influence of drugs.

In addition, impotence can be a symptom of diabetes earlier, hence the phenomenon should be related to impotence diabetes checks. If confirmed to have diabetes should be actively treated, carefully controlled diet, regular application of hypoglycemic drugs. Diabetes under control, impotence symptoms can also be improved. If did not receive effective treatment, accompanied by loss of libido, and diabetes has been controlled by checking at this time should take into account the spirit of factors, the need to eliminate anxiety, his wife to give co-ordination and comfort.

Duration of diabetes for too long, even though there blood sugar under control, but the impotence persists, not only in sexual intercourse, that is, in the early morning when the phenomenon of non-penile erection, which is already organic impotence impotence may be related to neuropathy, vascular damage or other related endocrine disorders, should go to the hospital detailed examination, symptomatic treatment. Organic impotence may, by surgical implantation of penile prosthesis in order to achieve the purpose of sexual life.

Retrograde ejaculation by about 1% a 2% of diabetic patients in retrograde ejaculation, or orgasm, when semen from the urethra outside the mouth are not fired, but a counter-current to the bladder, which dominated the patient’s autonomic damage to the bladder neck, bringing the ejaculation, when the should be in closed state into an open bladder neck.

Women with diabetes who have no male sexual function problems obviously, the psychological pressure of small, mainly for the lack of orgasm, it was statistical occurrence rate as high as 35.2%. The reason for the autonomic nervous system damage. In addition, female patients a slight degree of vaginal lubrication reduced sensitivity to autonomic nerve damage to the vagina weaken, and prone to vaginal infections, infection can cause painful intercourse caused by low sexual desire. Husband and wife can be used, such as vaginal dryness vaginal lubricants to provide lubrication and increase sexual pleasure. If vaginal fungal infection, can be partially used nystatin to eliminate the local inflammation. Treatment with hypoglycemic drugs, diet, infection control and other comprehensive adjustments, also allows the gradual recovery of sexual function.

Women with diabetes should be actively treated diabetes, when the disease under control after the sexual dysfunction can also be improved. At the same time rational use of drugs, a thorough treatment of vaginitis. Appeared atrophic vaginitis female patients may be appropriate to oral estrogen, such as Nylestriol films and so on can also be used vaginal lubricants.

The relationship between diabetes and birth

Diabetic women, pregnancy issues should be carefully considered. The relationship between diabetes and pregnancy, there are two cases: one is diabetic pregnancy, that is, pre-pregnancy diabetes or impaired glucose tolerance have been women who appeared pregnant, postpartum diabetes, no change or increase; the other is gestational diabetes, that is, pre-pregnancy without diabetes or impaired glucose tolerance, diabetes mellitus after pregnancy, postpartum return to normal.

Diabetic women, if pregnant, have to go to the hospital the doctor to do a comprehensive and detailed pre-pregnancy and prenatal care to understand the current severity of diabetes, and whether the time of pregnancy and childbirth, mode, etc. This is very necessary, this must not lightly.

If the pregnant woman accompanied by diabetic nephropathy, coronary atherosclerosis, proliferative retinopathy fundus when abortion should be made early in order to interrupt her pregnancy. If accompanied by high blood pressure, preferably also the termination of pregnancy. Under such circumstances, the mother and infant health at risk.

Men with diabetes If you want a child should first ascertain whether their fertility was hurt and its severity. Just go to hospital for routine examination of semen, it clearly. Sperm is the seed of male fertility, sperm quantity and quality of poor primary cause of male infertility manifestations. Sperm density is too small, leading to sperm and eggs to reduce the probability of fertilization, thus the opportunity to significantly reduced fertility; if the sperm are “old and sick,” and the like, are also difficult to successfully Outright competition.

Positive control blood sugar, as much as possible to reduce diabetes on blood vessels and nervous system, the role of the sustained damage, the restoration of testicular function in patients with diabetes mellitus and normal sexual function of the primary means of some patients rely solely on this method is expected to receive fertility to maintain or natural recovery. In addition, you can also improve fertility in their daily lives. To change the bad eating habits, tobacco and alcohol to cope with strong sexual and reproductive ability to adjust the diet has some effect. If the situation is more serious, one can consider seeking professional medical help.

Now, the market a wide range of fruit juice products, varieties of sweet taste, appearance package colorful, more attractive to the eye. No matter how big or how small supermarket, one can see the colorful fruit on the counter, it is unforgettable.

But for the Friends of sugar, the juice market are dangerous foods, could easily undermine the stability of blood sugar. This is because: Most fruit juice market with saccharin, flavor, fruit juice concentrate preparation. The production process, adding a lot of sugar, sweeteners, sour materials, spices and other ingredients for flavoring, which affects not only the nutritional quality of fruit juice, but also greatly increased the sugar content of juice. Therefore, commodity juice drinks, sugar, faithful to try to drink less.

2. Use, “sugar” fruit juice

Juice of fruit chosen to determine the sugar content of the sugar content of juice. Armed Police General Hospital, director of nutrition Lulli doctor suggested that patients with diabetes: “The best eating a low sugar content of juice.”

General “low sugar” refers to every 100 grams of fruit sugar content of less than 9 grams of fruit. Such as watermelon, oranges, lemon, grape, peach, plum, apricot, strawberry, cherry, olive and so on, all belong to low-sugar fruits. You can set a daily selection of sugar, 100 grams or so. Some fruit per 100 grams of sugar is higher than 20 grams, such as persimmon, melon, peach, jujube, Chinese hawthorn, etc., we should eat less o’clock.

In addition, it is recommended you select “on behalf of the Fruits” vegetable juice. Such as tomatoes, cucumber, snake melon, etc., each 100 grams sugar 5 grams, but also rich in water and vitamins, very little heat. Even though might have had a point of tomato juice or cucumber juice, you need not worry about high blood sugar will rise.

3. Seasonal fruit juice healthier

It is understood that the present off-season fruit, mainly through special means to change the growth environment for the plants mature earlier in the season out of the cultivated varieties. For example, in order to facilitate storage and transportation of fruit ahead of the mature fruit has not yet picked, and then ethylene ripening sell them. Such as fruit, meat would adversely affect the human body.

Lulli doctor said: “when the summer Summer is rich watermelon, they recommend eating watermelon. Jieshu not only heat, sweating more, you can also add water.”

Friends of the water but suitable for sugar-rich squeezed fruit juice, there are apples, oranges, pears, grapes, lemons, melons and so on.

4. Do not add honey, homemade fruit juice

Their fresh squeezed juices, fruit juice sweet taste is not the market. Some of our friends would think of adding honey to increase the sweetness, so it would be more easy to drink fruit juice.

In fact, honey glycemic index Gl 73.0, 100 grams per 321 kcal. Add the honey and the juice is tantamount to the fruit juice added sugar. This will add a sweetener such as fruit juice market as a high-sugar foods is not conducive to the Friends of sugar consumption. Friends of the self-made sugar, fruit juice, do not add honey or sugar and other foods.

5 . drink fruit juice, but also measurement of blood glucose

Drink yourself healthy fresh squeezed juice, the best fruit and the heat control what the corresponding table. (Usually fresh fruit, protein 1 gram per 200 grams, 21 grams carbohydrates, calories 90 kcal) at the same time detect the juice right the changes brought about their own blood sugar, such as what to drink before the test blood sugar, drink about two hours after the blood glucose test, compare the two, look at this fruit juice, this number, is not appropriate for them. So that you can select one of the most suitable for them to squeezed fruit juices.

Warm Tips:

Freshly squeezed juice from the fruit, so fruit juice to replace the consumption of fruit position.

The best place to juice between meals as snacks for human consumption, but also to calculate the heat exchange copies.

Not a substitute for fruits and vegetables, so best to drink a glass of freshly squeezed fruit juice per day (about 200 grams of fruit.

Formula: lotus seed, Gorgon Fruit, Pomegranate husk, 50 grams, Diospyros lotus 5, 100 grams of lean meat pigs.

Add water them With small fire boil, Then boil half hour.

Drug boiled twice. Day one. Effects of magic. Without pork is invalid.

Do not belittle this prescription, trial and we have to know.

Full-text includes “Notes from patients,” the form of a successful treatment experience, reading will give you empathy; subsequent “expert consensus” to help you read the theory behind this success relies on; final “extension services” to introduceInsulinPens and insulin pumps, to provide you with a specific close help.

　Do not refuse to type 2 diabetes mellitus Insulin

□ Xu Yu

I am a retired doctors, 74-year-old, four years ago I was diagnosed with type 2 diabetes. Fasting blood glucose was 14.1 mmol / l,Urine+ + + + + Urine protein, creatinine is also much higher, and every morning have a mild facial swelling. There are indications that I have emergedDNComplications, the condition is very serious.

Under the guidance of professional doctors, I am strictly in accordance with the principles of comprehensive treatment of diabetes, adjusting the diet, regular exercise, maintaining optimism, and with the foot massage (the text, see page 61 this issue, “might try” section). In drug treatment, I have no use of any oral hypoglycemic agents, only insulin Novolin 30R, 16 units before breakfast and dinner the first 12 units. Treatment a week later, fasting blood glucose fell to 6.1 mmol / l, urine loss, urine protein, reduced by the + + +. The first two weeks of urine protein was negative, facial swelling disappears. A year later a decrease of insulin dosage, and all indications were normal. Now I use the insulin for nearly four years, the monthly check is generally not more than 7 fasting blood glucose, postprandial blood glucose 2 hours is generally not more than 8, glycosylatedHemoglobinOnly 5.5%, then no new complications, the original general belly,Fatty LiverWas gone too.

I’m glad he has discovered soon after the use of insulin diabetes treatment, not only effectively control blood sugar, but also to curb the development of diabetic nephropathy, thus avoiding the serious consequences of renal failure. Now I not only lived a normal life after retirement has also been active aging, old age, full and happy life.

　Type 2 diabetic patients with insulin-good effect as early as

Affiliated Hospitals vice president, chief physician, Professor Weng Jianping authority in the international medical journal “Lancet” the author says, the traditional treatment of type 2 diabetes is to take from the diet, exercise to a single drug taken orally, to jointly oral ladder -type therapy. However, so far not found any kind of oral hypoglycemic agents in patients with type 2 diabetes can change the islet β-cell function decline process. On the contrary, about half of patients over the long-term drug stimulation as a result of islet β-cell failure, resulting in difficult to control blood sugar. And long-term toxicity of high blood sugar will undoubtedly increase the risk of complications. Research shows that early stage of type 2 diabetic patients intensive insulin therapy, the effect is better than the traditional method of treatment.

　　Metabolic Disease Hospital of Tianjin Medical University,Professor Xie Yun believes that early stage of type 2 diabetes with insulin resistance in the main. As the disease progress, and gradually reduce the number of β cells occurs, until failure. Early application of insulin, allowing β-cell rest, in order to protect its function, so that patients achieve good blood glucose control as soon as possible, eliminating high-sugar toxicity, delayed complications. Therefore, the clinical insulin therapy should not be treated with oral medication as a last resort after the failure.

The United States Lawson Zito (Rosenstock), Professor and the United Kingdom Holmes (Home) Professor of the same view that the current use of oral hypoglycemic agents can hypoglycemic limited. Therefore, a considerable number of patients with type 2 diabetes eventually need insulin therapy. The early use of insulin, will not only help control blood sugar compliance and prevention of complications, but also beneficial to the preservation of β-cell function.

Second Affiliated Hospital, Sun Yat-sen, director of physician Professor Cheng Hua pointed out that in patients with type 2 diabetes with insulin is not a security of tenure.

In fact, in patients with type 2 diabetes with insulin may be short-term, it can be long-term. Part of the blood glucose returned to normal, may switch to less variety and smaller doses of oral hypoglycemic agents. For patients with failure of oral hypoglycemic agents, short-term intensive insulin therapy, some patients may resume oral drug therapy. Only the islet β-cell function in patients with poor only need long-term insulin therapy. Thus, when doctors believed that type 2 diabetes require insulin, the patient should understand and actively cooperate with.

　　To help you understand the insulin pens and insulin pumps

□ Changhai Hospital, Second Military Medical University, Professor Chang

Insulin pen is a pen Xingzhuang Si insulin syringes, pens and refills from the two parts. Cartridge vary according to the type of insulin, may need to purchase, no need for pen after use, you can only refillable. Within the insulin cartridge can be directly injected into the skin, eliminating the need for extraction from the bottle and then injected trouble. Insulin dose by controlling the rear of putting pen to move forward to capture the distance, the dose directly to the unit displayed in the rear of the window. Special thin pen needles, you can meet the basic painless. Needles and a one-time, spent must be promptly replaced.

If the doctor recommends that you use insulin, you can require the use of insulin pens.

Doses of insulin pens is not only accurate, painless, and easy to operate, especially the travel is very convenient to carry.

Insulin pump is a need to keep wearing the body of the artificial islets, there are cigarette box so much. It continues to enter the small amount of insulin the body to eat when the input again to increase the amount of insulin. Onto it from the design concept is in line with the physical, there are many advantages, but in actual application there are many other restrictions.

As the constant input of insulin, the need for fine-needle buried in the skin, the needle should be changed regularly. Due to the time of testing blood sugar, but also need to have pocket-sized glucose detector. In short, this series of equipment, more complicated, difficult to operate there, but also expensive. Therefore, the insulin pump is currently used to type 1 diabetes with insulin in patients with type 2 diabetes limited in China.

Diagnosed with diabetes, so that Mr. Chen’s health, there has been a new understanding. “At that time reading an article talking about the campaign for the treatment of diabetes is very helpful.” Mr. Chen recalled that, after reading this article, to their own physician consultation, choose their own physical therapy program: Slow day, running half an hour.

The morning of 56 points, or four or five in the afternoon, is running a time Mr. Chen, the provincial body, in the province of Medicine, National Taiwan Normal University, is the location of his running. The weekend, but also go and climb a Gushan.

In addition to exercise, diet control is critical. Mr. Chen introduced the past, everyone has to eat a bowl and a half to two bowls of rice, the staple food of each meal now basically control a two and a half. Morning, a packet of milk and an egg, lunch and dinner staples are one or two and a half of rice, while vegetables, meat and so the total is about half a catty about each meal.

After four months, Mr. Chen to stop medication, only control the disease through diet and exercise.

Fasting blood glucose 5.3mmol / l, which is now Chan the average level of blood glucose normal. This can be said is basically to distinguish between the boundaries of diabetes. Affiliated Union Hospital, Fujian Medical University nutrition clinic dietitian YU Liang-chen, deputy director of introduction, the patient’s condition improved mainly due to his insistence.

However, we Do not copy Mr. Chen’s methodology, Yuzhu Ren said, still vary.

Mr. Chen of these good habits you might be able to Yongde Zhao:

1. Daily blood glucose, while recording his three meals a day.

This is Mr. Chen to do one thing every day. Mr. Chen’s home study, where a thick pile of notebooks he recorded more than a year, the daily diet and blood glucose.

2. At any time to communicate with doctors on a regular basis review.

Sometimes entertaining encounter to drink, Mr. Chen will first ask the doctor, the doctor said to drink less to drink less, drink the drink.

3. To read more books on health, increase their understanding of the disease

Is well known that diabetes is no doubt in the body such as gold is not installed on the bomb, lived tasteless, all day worried about complications. Is there a way to cure diabetes? After years of exploration and research, diabetes finally cured. Today, we let the General Hospital of Chengdu Military Region, Hepatobiliary and Pancreatic Surgery Dr Chan to explain for us, what is a good way to cure diabetes out? Moreover, its safety and efficacy of performance are fully protected.

Expert Information:

TANG Li-Jun, MD, Chief Physician, Third Military Medical University, Master’s tutor, the current General Hospital of Chengdu Military Region, PLA & P outside the director of the Center. Engaged in clinical abdominal surgery for nearly 20 years, had studied in the Royal Swedish Karolinska Institute, specializes in pancreatic and bile duct surgery clinical diagnosis and treatment. Sichuan Province, won the 2007 Top Ten Outstanding Youth title. Was awarded in 2008 the first batch of the Chengdu Military Region, the title of Health and outstanding talent.

Chen Tao, MD, deputy chief physician. On the liver, gallbladder, pancreas, spleen system, benign and malignant disease, the diagnosis and surgical treatment has a wealth of experience, especially for the professional diagnosis and treatment of difficult cases with high professional standards. In the liver, biliary and pancreatic cancer surgery and minimally invasive treatment, integrated treatment have more extensive experience and insights.

Type II diabetes, the traditional medical treatment, palliatives

A typical clinical manifestations of diabetes mellitus as “a little over 3″: polydipsia, food, more urine and weight loss. Type II diabetes, also known as adult-onset diabetes, mostly in incidence after age 35-40, for the most common type of diabetes, accounting for more than 90% of patients with diabetes. Type II diabetes has long been considered a medical disease, commonly used treatment methods, including control of diet, increase physical activity, oral hypoglycemic drugs, the use of insulin. But these medical treatments can not guarantee the true sense of the patient’s blood sugar returned to normal levels, but not fundamentally prevent the emergence of a variety of diabetic complications and further aggravated. Palliatives, can be used to sum the traditional medical treatment.

A lucky hit a weight-loss surgery to be “hypoglycemic”

The last century 50’s, weight-loss surgery patients who started for the treatment of obesity, long-term follow-up, doctors found that the accident: weight-loss surgery patients after significant weight loss in obese, Type II diabetes is accompanied by the disease also received varying degrees of improvement. However, a different surgical weight-loss surgery cure Type II diabetes, there is a big difference, of which the cure rate of gastric bypass surgery the highest, up to 83% -95%.

The researchers also found that those with diabetes, obese, do a gastric bypass surgery, the vast majority of cases the surgery done a few weeks later, surprisingly natural healing diabetes, and diabetes, weight loss was even greater than the speed of improvement is more Fast.

Surgical treatment of internal diseases means Type II diabetes can be cured

Is well known, surgical disease is treated by surgical means, but now belong to medical diseases, Type II diabetes can be used surgical means of treatment, and can reach 90% cure rate.

Diabetes itself is not terrible, terrible its complications: diabetes, kidney disease, diabetes, heart disease, diabetes, eye disease, diabetic neuropathy, diabetic foot ….. want to block the appearance of complications, the only way is to fundamentally transformed the diabetic patients and normal blood glucose to return to the same. Above what we call “a lucky hit of” weight loss surgery, just be able to effectively diabetic blood sugar returned to normal levels.

Schematic diagram of gastric bypass surgery

Surgical method is actually very simple way through the surgery, without removal of any organ of the case, change the flow of the stomach and intestines, thus changing the digestive system hormone secretion, so that lower blood sugar. Surgical treatment of type 2 diabetes, the mechanism has not yet completely clear, at present has made clear after surgery in patients with type 2 diabetes, insulin resistance can be significantly improved, most scholars believe that, post-operative gastrointestinal hormones on the regulation of glucose metabolism is its treatment of two an important mechanism for diabetes mellitus.

After a number of clinical trials, surgery generally is not difficult, but before the operations should be based on a detailed assessment of patient’s condition, targeted design of individualized surgical planning to be precise to achieve cure diabetes results. So, the selection power of medical technology to achieve high standards of the hospital, surgery is necessary. At present, China really can independently carry out this operation only in Beijing Armed Police General Hospital and General Hospital of Chengdu Military Region. General Hospital of Chengdu Military Region, the only one in the southwest.

Surgical treatment of diabetes disease indications and contraindications

Indications: obesity co-exist with type 2 diabetes, non-obese type 2 diabetes, patients with relatively normal insulin function.

Contraindications: type 1 diabetes, type 2 diabetes later insulin insufficiency or failure patients.

Surgical risk is less cost is not high cure rate of 90%

In other countries, with the surgical treatment of diabetes has reached universal proportions. After years of development, surgical technology is already very mature, and surgical cure rate is 90%. The risk of surgery is small, the cost is not high, compare the results of surgical risks and the benefits obtained are clear. For the possible complications of obesity with type 2 diabetes patients in the early surgical treatment of choice is a wise choice. Otherwise, once complications arise, the consequences will be severe, and it is difficult to cure.