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Diabetes Care, Vol 19, Issue 2 135-141, Copyright © 1996 by American Diabetes Association
Prevalence of self-reported erectile dysfunction in people with long-term IDDM
R Klein, BE Klein, KE Lee, SE Moss and KJ Cruickshanks
Department of Ophthalmology and Visual Sciences, University of Wisconsin-Madison 53705-2397, USA.
OBJECTIVE: The purpose of this report is to examine the prevalence of
erectile dysfunction and relationships to other characteristics in men with
younger-onset diabetes. RESEARCH DESIGN AND METHODS: In a population-based
cohort study in southern Wisconsin, prevalence of erectile dysfunction was
measured based on self reports in men who were 21 years of age or older,
were < 30 years of age at diagnosis of diabetes, had 10 or more years of
diabetes, and were taking insulin (n = 365). RESULTS: Of the study group,
20% reported a history of erectile dysfunction. The prevalence of erectile
dysfunction increased with increasing age (from 1.1% in those 21-30 years
of age to 47.1% in those 43 years of age or older, P for trend < 0.0001)
and with increasing duration of diabetes (P for trend < 0.0001).
Erectile dysfunction was associated with presence of severe diabetic
retinopathy, a history of peripheral neuropathy, amputation, cardiovascular
disease, a higher glycosylated hemoglobin, use of antihypertensive
medications, and higher BMI. CONCLUSIONS: These data suggest that tighter
glycemic control and careful selection of antihypertensive medications
might prove beneficial.

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Copyright © 1996 by the American Diabetes Association.
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