The Link Between Diabetes and ED: What You Need to Know

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

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@sexualhealthformenpodcast.com for more information and resources from the show. See you on the inside.

Well, hi there. Today we're going to dive into what is diabetes got to do with ed? We're going to dive into what is causing. That statistic is staggering. 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 talk about in the last few episodes that talk about the endothelium. One the picture here, the endothelium is just that lining that's on the inside of your blood vessels. So 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 sheet, 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, you have less water output. Well, the endotherium become impaired, and that's what's causing, 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 caused the blood lining to be dysfunctional. The next part is nerve. It actually affect the nerve in the penis. You see a picture here. I love talking with pictures because here you see a picture of the nerve that come out of your spinal cord. It affect the pudendal nerve as well as the parasympathetic nerve. And the parasympathetic nerve is the nerve that you need to have an erection. It. It impair 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 of fat in the love handles and actually in the inside of your abdomen, called visceral fat. It's the fat that surround the organ, like your intestines 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 factors, 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, diabetes, can cause insulin resistance. Insulin resistance mean 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 and the blood sugar goes into your cell. And. 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. And nitrous oxide loaded food are the crunchy cruciferous vegetables like broccoli, brussels sprout, kale, beets, spinach, collard green. Those are loaded with nitrous oxide that you got to 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. And this is the reason why, when you have diabetes, insulin resistance causes shbg, or a sex 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 create an inflammatory state that create 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. They're 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 cause inflammation in your endothelium, and eventually ed. And then if you eat that, it'll cause your insulin to be resistant, it'll raise your blood sugar. If you have adult onset diabetes, just eat the food and 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 because 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. So 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 erection. 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 antioxidant 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 worker 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 trick can make a big pivot for you that you don't have to buy that next supplement or next treatment. Just try to change in 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 need super unleaded gas. Give a super unleaded gas. Don't give it the regular unleaded gas because is not going to function as well. You only have one body. Take care of it. I am 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 20 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 this free gift fool 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 instruction 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 organization. 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 ED is an early warning sign of problems with circulation and heart health, this can also be a great way to prevent heart related problems 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 down the form below and then I will see you on the inside.

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