#5 Diabetes: 6 Surprising Reasons You're Not Performing Well
11 Nov 2025 · 5 min
Podcast episode (#5) by Dr. Anne Truong MD explaining how diabetes (high blood sugar and insulin resistance) can cause or worsen erectile dysfunction. The episode describes mechanisms: endothelial inflammation damaging blood-vessel lining, diabetic neuropathy weakening penile nerves, and atherosclerotic plaque reducing penile blood flow—likening ED to a "penis attack" analogous to heart attack. Host urges medical evaluation (blood work) because diabetes can be undiagnosed and manageable with diet/exercise, and promotes a paid community (Modern Man Club) for men with ED.
Questions this episode answers
Over 140 (fasting) on a blood test
Diabetes: around 6.1–6.2 A1C or higher; Prediabetes: 5.7 to about 6.2 A1C
Over 7,000 men
$57 per month (annual sign-up includes two months free)
Chapters
Do you know that eating a cookie can affect your erection? Well, stay tuned. On this episode, I'm going to dive deep into it and how that happened.
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 website at Sexual health for men podcast.com for more information and resources from the show. See you on the inside.
What is one of the surprising reason why you have ed? Well, number five is diabetes. Well, diabetes is really a condition where you have high blood sugar floating in your blood that your body's not not secreting enough insulin, which come from your pancreas, which drive the sugar in your blood into your organs and your cell. Essentially if, let's just say you eat a cookie, you have a gush of sugar as in your blood sugar and then the pancreas, which is your organ that in your abdomen secretes insulin and then the insulin goes out and make those sugar chemicals actually go into your body to give you energy. But what happened with diabetes, especially adult onset, is that the insulin gets secreted but it's not working as well and the blood sugars are stays high in the blood system and therefore you become what, insulin resistant. And then when you get blood work it shows that you have a high level of blood sugar in your system in, in your blood. I mean, so particularly very important when it comes to a man's erection because penis when it gets erected has 40 times more blood vessels in it than when it's not erected. So when it has 40 times more blood vessels in it when it's erected is very sensitive to what's in the blood. Right? Because inside the blood vessel is blood. What's floating through your blood is what you eat. What you eat is floating through your blood. So if you eating a cookie and a donut and followed by a coke, well, you're going to have a lot of sugar that is floating, that is in your blood and then your insulin is being secreted and it's not working as well. That's when you start having a high amount of blood sugar in the blood. That is what is defined as diabetes. And if you're over 140 fasting on a blood test and then a hemoglobin A1C probably are higher than range of 6.1. 6.2, hemoglobin A1C. But if you're pre diabetic, if you're between 5.7 to about 6.2. And anyway, at this point, why is sugar not the. For your erection? Because sugar, what it does is that it causes inflammation of the endothelium. The last episode I talk about endothelial endothelium, the lining of the blood vessel. So what it does is that it causes that inflammation of that lining of that cell. And those cells, it loses its strength and it causes the blood sugar kind of spill out into, through the blood vessel as well. And that the second part about how sugar is bad is that is the neurotoxin, it actually weaken your nerve, it actually make it inflammatory to the nerve. And what that does is it make the nerve start dying away. And your penis needs the nerve, right? And need the parasympathetic sympathetic as well as the pudendal nerve in order for it to function. And on top of that, the, the high amount of blood sugar that is in the blood, what it happened is that it gets deposited as a plaque in the blood vessel, which then get built up over time. And that's what causes the decreased blood flow or the blood vessel blockage, similar to what you get when you have a heart attack or stroke or ED is almost like having a penis attack because you're not getting enough blood flow down there.
Men, are you frustrated in dealing with erectile dysfunction? Your relationship is suffering and your medication is not working anymore. Well, what if I told you that ED is treatable and reversible? You are not alone and it is not your fault. Over the past 20 years, I have treated over 7,000 men suffering from E.D. so that way they can regain their confidence and be able to function again and have satisfying sex. And now it's time for you to join them to have the same result. I am now having a modern man club, a discreet community free from judgment for men with ED looking to restore their vitality and their sex life. When you sign up, you will get time with me, one hour twice a month, where you can ask me anything about sexual dysfunction or how to stop ed, anything you want to ask. And then I give you access to a library full of content on male sexuality, on things that work. Things doesn't work. And I do all the vetting, all the work, so you don't have to spend time on Google or do research and get frustrated and wasting time, money, and anguish. I will do all the research for you. And then on top of that, we will have guest expert joining us to share their wisdom. And don't forget you have access to a community of men supporting one another and learning for one another. This is all for $57 a month and you sign for a whole year. You get two months free. So don't wait. It is time to get result. If you keep doing the same things now, you're going to get the same result. All you have to do is try something different. Give yourself an opportunity to have a better sex life and stop ED in its tracks. So I want you to look at the link below and or go to my show notes or go to mensexuality club.com sales page again mensexuality club.com Sales page s a L E S P A G E I'll put the link below. Come join me in the modern man club.
And a study that had been done in the Journal of Sexual Medicine indicate that you have diabetes. You most likely will have ED a decade sooner than someone that doesn't have diabetes. So if you have ed, go get it checked out, go get, go see a doctor and get some blood work and maybe you may have new onset diabetes that you're not aware of and the blood work will show that and diabetes can be easily managed with diet, eating a Mediterranean diet, exercise, knowing what to avoid, knowing what to eat and doing dose measuring probably goes a long way before you get on the diabetic medication. I know my husband has a heart issue and he's healthy, he eats well and he exercise but he still has heart issue and a lot of that mainly from genetics. So take it from me, I'm living with it on a daily basis and I know what cardiovascular disease is all about and how that is contributing to blood flow. So guys, if you have ed, don't go for that Viagra Cl. Find out why you have ed. Just do some blood work first. Go see the doctor and do some blood work first and reevaluate. What type of diet are you eating? Are you eating more fruits and vegetables? Are you? Or are you more like a hamburger, French fries, chips and coke or sweet, sweet iced tea? Because if you're eating consuming more of that, your body's not going to be able to handle all the blood sugar overflow that you are feeding. It is going to become insulin resistant. So stay tuned the next episode. I'm going to go over the number six surprising reason why you may have ed. And if you find this useful I would appreciate it. You give me a review and I personally read all the reviews and also check out. If you need want more information or want to attend my Q and A, check out my Modern Man Club in the link below.
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 to give you the most incredible free gift designed to help you improve performance quickly. Go to my website@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.
