GLYCAEMIC YEARS RATHER THAN GLYCAEMIC CONTROL CORRELATES WITH ERECTILE DYSFUNCTION

Abstract

Purpose:To evaluate the association between the duration of diabetes and glycaemic control (HbA1c) and the severity of erectile dysfunction (ED) in men with diabetes mellitus Material and Methods: it was an observational study; subjects having diabetes mellitus were evaluated for erectile dysfunction. History, examination and investigations were done and data was analysed. IIEF-5 questionnaire was used for assessment. Correlation between severity of erectile dysfunction with duration of diabetes and HbA1C was assessed. Ethical approval and consent from patient was not taken as it was an observational study. Results: With increase in duration of diabetes incidence and severity of erectile dysfunction increases. Among Patients having diabetes for less than 1 year 35.2%, had no erectile dysfunction, 41.4% had mild and 4.8% had severe erectile dysfunction and among patient having diabetes for greater than 10 years 8.4% had no erectile dysfunction, 24.2% had mild and 39.6% had severe ED. However there was no correlation between HBA1C level and incidence or severity of erectile dysfunction. Among patient having HA1C level less than 7% 20.6% had no erectile dysfunction, 34.5% had mild and 19.9% had severe erectile dysfunction. in patients having HBA1C level greater than 9% 17.8% had no erectile dysfunction, 31% had mild and 23.9% had severe erectile dysfunction erectile dysfunction. Conclusion: Duration of diabetes i.e. glycaemic years are statistically associated with higher incidence and severity of erectile dysfunction. Glycaemic control as assessed by HBA1C shows no association