High blood glucose levels can damage the blood and nerve supply to the penis. If you have been seeing a gradual deterioration in the frequency and rigidity of erections, they are becoming more difficult to maintain and you have noticed a gradual loss of erections in the morning then your diabetes is likely to be involved.

Dealing with the problem

The first thing to realise is that ED is a very common condition. Some men find that ED can affect their self esteem, however there is no need to suffer in silence. The sooner you speak to your doctor, the sooner the problem can be solved.

You should speak to your partner, and involve them as much as possible. Sometimes partners feel rejected - it is helpful to explain that it is a common side effect of diabetes. Or why not show them this booklet?

How to talk to your doctor

All healthcare professionals in the field of diabetes are well aware of ED - and they are used to talking about it. It is understandably a difficult conversation, but as it is nearly always treatable, the sooner you discuss it, the sooner the problem can be addressed and things get back to normal.

These days there are a number of treatments for ED. All medicines have risks and side effects as well as benefits. Your doctor will be able to discuss these with you, and you should be able to find one that is suitable. And it's good to know that ED treatment is free for men with diabetes.