Erectile dysfunction (ED) is a common and often distressing complication of living with diabetes, especially for men with type 2 diabetes. This condition can negatively affect self-esteem, romantic relationships and quality of life—in addition to overall health. But emerging evidence shows that men can help improve erectile dysfunction management through weight loss and other lifestyle changes.
What is the link between ED and diabetes?
Several factors can increase the risk of ED in men with diabetes including:
- Poor blood sugar control, which can damage blood vessels and nerves, especially those that supply blood to the penis.
- Insulin resistance, which is often associated with obesity and metabolic syndrome leading to hormonal imbalances.
- Obesity and sedentary lifestyles, which contribute to reduced testosterone levels essential for healthy sexual function.
- Psychological factors such as depression or anxiety, which can affect erectile function and are more common in people with chronic illnesses such as diabetes and obesity.
Why is excess weight a potential risk factor for ED?
Excess fat, especially around the abdomen, can cause insulin resistance and inflammation. It also increases the conversion of testosterone to estrogen in fat tissue, reducing libido and sexual performance.
On top of that, obesity negatively impacts cardiovascular health. Given that erections depend on adequate blood flow, any factors that reduce vascular function (i.e., high blood pressure, cholesterol or atherosclerosis) can worsen ED.
How can weight loss help to manage ED?
Dropping excess weight may help improve ED management in a variety of ways, including:
- Enhancing insulin sensitivity, which helps keep blood sugars levels in check. Stable blood sugar levels can reduce the risk of nerve damage or neuropathy, a major factor in diabetes-related ED.
- Reducing inflammation and oxidative stress, which improve blood flow to the penis.
- Boosting testosterone levels, which can enhance libido and erectile function.
- Improving mental health, as depression and anxiety affects sexual function.
In fact, research shows that even modest weight loss (5-10%) can improve sexual function and reduce the severity of ED.
A healthy diet combined with a lifestyle of regular exercise and reduced stress, are often recommended by healthcare providers for losing weight. But while diet and exercise are both essential aspects of weight management, many folks still struggle to achieve long-term weight loss with lifestyle changes alone. Adults struggling with the complications of elevated weight should receive individualized care plans that address the root causes of their weight. This can include psychological and behavioural support along with prescription medication or surgical interventions if appropriate.
Also keep in mind that since ED is often attributed to many different risk factors, interventions such as weight loss can have varying degrees of success in helping address your symptoms.
What if I’m still struggling with ED?
It’s important to consult a healthcare professional for a full assessment. Sometimes ED can be a symptom of an underlying cardiovascular issue or other disorder that requires further treatment.
Certain medications used to manage diabetes and hypertension can also contribute to ED so work with your healthcare providers to adjust medications as needed or to explore alternative options.
For individuals who continue to struggle with weight loss after making lifestyle changes and assessing their current diabetes medication plan, other medications may help achieve significant weight loss and improve glycemic control, often with a positive impact on sexual health. Speak to your healthcare provider to determine the best weight-loss plan for you.
There are also reputable online healthcare providers such as Felix Health who can provide discrete support and information on treatment options for ED and weight Loss.
Remember that ED is a common complication in men with type 2 diabetes, but it can be effectively managed and treated. Losing weight and maintaining a healthy lifestyle may help address some of the root causes of ED to improve sexual function for some people. Discussing ED with your healthcare providers will help ensure you’re taking the appropriate steps to address any underlying concerns.
Sponsored by Felix Health, a partner who shares our mission of providing trusted health education.
