The Link Between Diabetes and ED: What You Need to Know | Dr. Anne Truong MD

Ever wonder why, if you have diabetes, why does that cause you to have ed? Well, stay tuned, we'll talk about that.

Well, hi there. Today we're going to dive into what.

Does diabetes got to do with ed? We're going to dive into what is causing that statistic is staggering. It In 2012 there were 371 million people diagnosed with diabetes. And then it's expected to rise by 2030 that there will be 552 million people living with diabetes. Now, diabetes is diagnosed by blood work. And sometimes you may have diabetes, you don't even know it at all. And the first symptoms may just be that you're urinating a lot, sometimes fatigue or sometimes sleepiness. And you need to really get assessed. And it's just a simple blood work to see what your fasting blood sugar is like and also checking your hemoglobin A1C. The good thing about diabetes is that once you know you have, you can be in the pre diabetic stage, which is when your hemoglobin is less than 7, then you can actually change your diet to adjust. The reason why there's a rise in diabetes, because of increased calories, inactivity, you're not exercising as much. That's mainly the reason why industrialized countries and now there's rising rate of obesity correlate with rising rate of diabetes. And diabetes is the fifth leading cause of death in men. That's pretty staggering. How does diabetes cause ed? Well, the first part is that, remember we talked about in the last few episodes that talk about the endothelium.

Well, in the picture here, the endothelium.

Is just that lining that's on the inside of your blood vessel. This is your blood vessel here. And the blood vessel has just a thin layer that is lined by cells that is called the endothelium.

Imagine it's a sheet, it's like a pipe.

Imagine a pipe and then it's on.

The inside the pipe.

That's the sheath, that's the endothelium, the one thin layer and that produces nitrous oxide. Nitrous oxide is critical for relaxing the smooth muscle here on the blood vessel in order to relax. So that way the blood vessel can expand to allow more blood flow. As you know ed, it means less blood flow or decreased blood flow. That means that the blood vessel is not expanding to allow more blood flow into the penis. And that's why you have ed and that's why when you get an erection, you lose it. Or that's why when you're not getting a firm erection, it's because the blood vessel here cannot open up and to allow increasing blood flow. Imagine like you have a hose this big. You get more water output, right? You have a hose that's small, they have less water output, but the endothelium become impaired, and that's what's causing less nitrous oxide. The blood vessels not relaxed, and therefore you're not getting enough blood in. So that's the vascular portion of why diabetes or high blood sugar cause the blood lining to be dysfunctional. The next part is nerve. It actually affects the nerve in the penis. See a picture here. I love talking with pictures because here you see a picture of the nerve that comes out of your spinal cord. It affects the pudendal nerve as well as the parasympathetic nerve. And the parasympathetic nerve is the nerve that you need to have an erection. It impairs the conductivity of the nerve and it also decreases sensation as well, too. The next part that the high blood sugar or diabetes cause is that it produces more fat in the love handles and actually in the inside of your abdomen, called visceral fat. It's the fat that surrounds the organ like your intestine and your liver and all your organ and abdominal space, and that is inflammatory. The visceral fat, or the fat is in the inside of your belly, produces inflammatory factor. And it also reduces nitrous oxide as well. And it actually will produce more estrogen. When you have more estrogen, that decreases testosterone. And the next part is diabetes can cause insulin resistance. Insulin resistance means that the insulin that's being released from your pancreas, which is the organ in your abdomen right next to your stomach, it produces insulin. So that way, when it's produced, the blood sugar goes down, the blood sugar goes into your cell. But when you have diabetes, the insulin just doesn't work as well. It gets produced, but it just kind of. It just hangs there and it become kind of overload. That's why it's resistance. And when you have insulin resistance, it will also decrease nitrous oxide as well. Again, everything goes back to nitrous oxide. And if you listen to my past episode on nitrous oxide, there's only two ways that you can get nitrous oxide, right? You'll get nitrous oxide from food, and then you get nitrous oxide from the supplement. Nitrous oxide. Loaded food are the crunchy cruciferous vegetables like broccoli, brussels sprout, kale, beets, spinach collard green. Those are loaded with nitric oxide that you gotta make sure that the enzyme nitric oxide synthase is also activated as well. And sometimes that gets impaired as you get older. And that's why nitric oxide gets decreased as you get older. The next one is hypogonadism, meaning low testosterone. 25% of men with diabetes actually have low testosterone as well. This is the reason why when you have diabetes, insulin resistance causes SHBG or sex, a hormone binding globulin, to rise as well as it also increases aromatase activity, which then increases more estrogen being produced from testosterone. The hypogonadism also increases inflammatory mediator as well too. So it just creates an inflammatory state that creates an imbalance in your hormone. But the good news is that if you have adult onset diabetes, you can actually change that. You can treat it yourself by reducing calories. It's all about reducing calories, increasing your activity. And start the Mediterranean diet. Now, I have a picture here of good fat and bad fat. And oftentimes I get this question a lot. And what is good fat and bad fat? What should I eat that is good for me? Well, you see in the left column here, salmon, nuts, seeds, soy milk. Well, not too much, but sometimes soy milk can contribute to estrogen as well. Soybeans, tofu, peanut butter and peanuts, and avocado, those are the good fat. And you want to avoid fried food, French fries, hamburger, ribs, steak, hydrogenated vegetable oil, chips, pastries, cookies, ice cream, whole fat dairy products like cheese and lard. Those are all the good food, isn't it? The bad fats are all the good food, but unfortunately they cause your cholesterol to rise, your LDL to rise. It causes inflammation in your endothelium and eventually ed. And then if you eat that, it will cause your insulin to be resistant. It'll raise your blood sugar. If you have adult onset diabetes, just eat the food in the good fat food. Start a Mediterranean diet. When you start a Mediterranean diet, that will help lower the blood sugar, start walking at least 30 minutes a day and make wise food decisions. But you can do it. You can reverse all the effect of what diabetes can do. Cause your ed, and it goes a long way. I've seen patients, initially when they came in, they had ed. He was drinking three sodas a day, was eating a hamburger with french fries and then chips. That's every day. Came to see me. I recommend that he just kind of start instituting less bad carb in the diet. He dropped his sodas and he dropped his French fries and chips and he started eating red meat like maybe once a week. And lord and behold, he started to have morning erections. He started eating more fruits, more vegetables. Three weeks later he was getting daily morning erection. And six weeks later we measured his blood work. His testosterone level shot up from 300, which is really very, very low, to.

600 with just changing his diet.

He didn't do anything except to really kind of cut the red meat to maybe once a week cut the sodas, cut the french fries, cut the chips and just adding more vegetables into your meals and eating less bread and his testosterone level double. And he has more energy, he has more focus. And in fact another man that was in our modern man club, which is our online coaching program where I coach you live twice a month. And the gentleman, he was there and he thought that to attract women that he needed to have a larger penis. And because of the price point, he didn't get treated yet. But what he did do was that he started the Mediterranean diet, which is a diet that I recommend if you have ED because it has more antioxidants than fruits and vegetables. Essentially food that is good for you, that will decrease your blood sugar. And after about three weeks of starting on the diet, he had a lot of energy, his mood was better, he was always smiling. And what we found out was that one of his co workers was a woman said to him that she would like his phone number because he's so happy to be around and that she liked the way how he is. The story about this is that it's not his penis size attracting the women, it's really his personality, his happiness. And that happened because of his diet change. That was what caused prior to that. And he admits that a happy diet, a happy sex life and a happy dating experience as well.

Sometimes just simple little treats can make.

A big pivot for you that you don't have to buy that next supplement or next treatment. Just try to change your diet. I will guarantee you will feel better because you give your body what the good stuff, your body will feel better again. Treat your body like a high end car that needs super unleaded gas. Give it super unleaded gas, don't give it the regular unleaded gas because it's not going to function as well. You only have one body, take care of it. I'm glad you're here with me. I would appreciate it. If you like, subscribe and comment, let me know what you're thinking and I will see you in the next episode. Hello there.

Want an amazing Sex life.

This free gift is going to give.

You more sex by helping you get harder and lasting longer. Let's talk about the most sensitive subject, the effect that aging has on your sex life. If you're over 40, there's about 67% chance that you have to deal with one or more of these issues. You sometimes go soft in the middle of sex. You sometimes have trouble lasting long enough to climax. Your erection just doesn't feel as hard as it used to be and your penis is not as sensitive as it used to be. You cannot reach orgasm or ejaculate. You sometimes have trouble getting an erection. These things lead to frustration and embarrassment when you cannot please your partner. My name is Dr. Ann Truong and I've been treating men for issue like this for over 25 years. As a board certified medical doctor who specializes in men's health, I helped over 7,000 men reverse the effect of ED. As a way to introduce you to the ED treatment that I offer, I want to give you the most incredible free gift ever. But don't let the fact that it's free gift for you.

This powerful gift will help you get.

Harder and stay and last longer and may just revolutionize your sex life, making sex more exciting, more thrilling and an amazing experience again. How is that? Well, here's what you're going to get in this most incredible free gift. Number one A Good Morning Wood Smoothie recipe. This is my specially formulated antioxidant recipe that will help you get harder and stay in stimulating more blood flow. It is formulated to increase your nitrous oxide level which is one of the biggest keys to making you harder and firmer more often and will also help you last longer. It is filled with lots of green that create more nitrous oxide in your blood. This smoothie will give you that morning wood effect and will also make you harder on demand when you need it most and you'll see the effect in about several weeks. Number two Nitrous Oxide testing strip. You will also get two of these strips which you will use along with simple instructions to test your nitrous oxide level in your saliva. Nitrous oxide is a gas in your body and is required for good blood.

Flow to the organ.

The strip can determine if your nitric oxide are deficient which can help us advise you on the best way to reverse your ed. Even more important since since ED is an early warning sign of problems with circulation and heart health, this can also be a great way to prevent heart related problem such as strokes and heart attack number three and the best part of all, a 30 day free trial access to the Modern Man Club as part of our mission to make men hard again, we launched the Modern Man Club as a way to provide education and support to community of men who's on the path to reversing their ed. With pre recorded and live session being offered every week, I will help men regain sexual health through training support. I will be there all the way with you to hold your hand through so that way you can overcome ED and have your best sex life members rave about this session and the sense of community they gain by being a member of the Modern Man Club. And all you have to do is to say maybe to this offer and once you say maybe you will be on your way to a more fulfilling and exciting sex life. So all you have to do is fill it down the form below and.

Then I will see you on the inside.

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, you 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@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.