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The British Journal of Diabetes & Vascular Disease
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Erectile dysfunction in type 1 diabetic males

Fiona Jamieson

Diabetic Department, Victoria Hospital, Kirkcaldy, Fife KY2 5AH, Scotland, UK

John Chalmers

Diabetic Department, Victoria Hospital, Kirkcaldy, Fife KY2 5AH, Scotland, UK

Catriona Duncan

Diabetic Department, Victoria Hospital, Kirkcaldy, Fife KY2 5AH, Scotland, UK

Robin J Prescott

Diabetic Department, Victoria Hospital, Kirkcaldy, Fife KY2 5AH, Scotland, UK

Ian W Campbell

Diabetic Department, Victoria Hospital, Kirkcaldy, Fife KY2 5AH, Scotland, UK, jackie.wallace{at}faht.scot.nhs.uk

In a survey of 142 type 1 diabetic males, 40—59 years of age, 76 (54%) had erectile dysfunction (ED). Using a multi-variate analysis, the six most significant associations with ED were age (p = 0.009), duration of diabetes (p = 0.001), glycaemic control as assessed by HbA1c (p = 0.003), weight (p = 0.003), hypertension (p = 0.06) and microalbuminuria (p = 0.04). ED was associated with a higher cardiovascular risk score.

In an assessment of categorical variables, retinopathy and laser therapy were also significant, reflecting the severity of underlying microangiopathy. It is concluded that despite advances in the management of micro- and macrovascular complications over the past 30 years, ED is still a common problem in diabetic males requiring careful assessment and appropriate treatment.

Key Words: cardiovascular risk • erectile dysfunction • type 1 diabetes.

The British Journal of Diabetes & Vascular Disease, Vol. 8, No. 5, 232-234 (2008)
DOI: 10.1177/1474651408094536
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 British Journal of Diabetes & Vascular DiseaseHome page
I. W Campbell
Erectile dysfunction in diabetes mellitus: a risk factor for cardiovascular disease
The British Journal of Diabetes & Vascular Disease, September 1, 2008; 8(5): 212 - 213.
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