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The Question
06/01/09 11:02 PM

"I am new T2. I have not had any sexual desire in 2 years. Testosterone gel does not even work. I keep my BS in check at all the times. Any advice?"
Asked By: novero  
Category: Sexual Issues

Background Info Hide
My T count was 121 last july , Testaseron theropy does not work , my body does not metabolise it, I went from 121 to 8503 count in 2 month with no improvment in sexual life , androgel , 1% is what I use , my physician is confused..I am very very tiered with no energies at all, I have been on high does opiod pain managment therapy for 3 years ( back problem)..I have had reduced the pain pills to see if it helps the low energy low dibilo issues - no improvment

Expert Answers (1)

10/19/09 03:28 PM

Hello NoVero: Thanks for consulting with dLife. Good job in keeping the BS in check, (never to exceed 140mg/dl, per AACE), and the A1C<7 %(?) If this is the status of the BS, good job. When you say you are newly diagnosed, statistics suggest that in Ty2, the diagnosis can exist 10 years prior to overt diagnosis. Hopefully, this has not been the case. However, there could be some potential neuropathy impact as you reference, "desire".

Symptoms of "tiredness and no energy" suggest that the blood glucose is not entering the cell as to generate the appropriate reactions, or the sugars are high when you may not suspect. Monitoring 2 hours after eating is a helpful diagnostic tool, "are their glycemic excursions occurring?"

Impaired sexual performance issues generally can be grouped into

  • physical or
  • psychological causes. Physical impairment would be the back injury and related medications you mention or some form of nerve damage in the lower torso area or joints. If this is the case a Neurologist/Urologist or Endocrinologist may offer some insight into successful treatments.

    If it is impotence, about half of men with diabetes experience impotence, or the penis does not become or stay hard enough for sex. The most common causes include

  • damage to nerves in the penis
  • blood vessel damage in the penis
  • or poor control over your blood glucose levels. Physical impotence usually occurs slowly and worsens.

    If you cannot find a physical cause, (just the stress and worry can cause head issues), if you've discussed with your PCP and help is eluding you, seek out a mental health professional. While there is no cure if it is neuropathy, treatment does exist and available, i.e. There are implants and many medications, to mention a few. Keep to the ADA's ABC's:

  • A1c<7%,
  • BP<130/80mmHG,
  • Tcholesterol<200, LDL<100, HDL>40,Tgs<150,
  • if you smoke, please stop
  • no alcohol
  • activity to 150 min/wk-PCP OK. Regards Sue
    • Answered By: Susan Throop
    Accreditations: RD, CDE, MA
    Sources Show

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    *** All information contained on dLife.com is intended for informational and educational purposes only. Our Expert Q&A is not intended to be a replacement or substitute for consultation with a qualified medical professional or for professional medical advice related to diabetes or another medical condition. Please contact your physician or medical professional with any questions and concerns about your medical condition.

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