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Sexual Performance can be affected when you have diabetes, no matter what type of diabetes.
I always speak about sexual issues within my practice to my clients and nine times out of ten people are relieved when I discuss it, because there is an issue and they were either too afraid or embarrassed to talk about it. The sad thing is, the more the issue is ignored due to fear or embarrassment, the bigger the problem it becomes. We also need to consider all sorts of possibilities when dealing with & discussing sex such as age, sexual orientation, teenage sex, sexual preferences. Up to 50% of men can experience some difficulty with sexual performance when they have diabetes. Also many women may suffer from Vaginitis, which is inflammation of the vagina, dryness of the vaginal area, difficulty stimulating the clitoris or achieving orgasm. Sex is an exercise, so your risk of going hypoglycemic either during or after sex is the same for any exercise. If you use an insulin pump, you may want to set a temporary basal or disconnect it during sex to avoid going low. If you have an understanding partner, there should not be much of an issue, once you are both open and discuss about how diabetes can affect your sexual performance. Tiredness can be a problem for people with diabetes, which is normal to experience when you have diabetes. A growing health concern among men in the United States is Type 2 Diabetes, formerly known as Adult-Onset Diabetes, a metabolic disorder brought on by high blood glucose levels and insulin deficiency. If you are one of the 13 million men in the United States with Type 2 Diabetes (11.8% of all men over the age of 20 suffer from the disease), there are several important risks and treatment options that you need to be aware of. Now that you know the risks and symptoms of Type 2 Diabetes, it is important to be aware of the treatment and prevention options available.
Get started today and contact MMi to schedule and appointment or learn more about our treatment options. September was deemed National Healthy Aging Month, with dedicated themes around heart health, cholesterol education and prostate awareness.
Because testosterone is such an integral part of a male’s anatomy and overall health, testing for levels of Low-T by having your blood drawn will also screen for various illnesses and diseases including cholesterol, diabetes and prostate cancer before symptoms occur. FACT: 71 million American adults have high cholesterol, but only one-third of them have the condition under control.
While men should be health-conscious year-round, Healthy Aging Month in September provides an opportunity to reconsider those little habits and routines that can make a big overall difference in the long run. Prostate cancer is the most common cancer in American men other than skin cancer, according to the American Cancer Society, which makes this knowledge especially impactful for the average American male. While there is a blood test specially designed to detect prostate cancer, the prostate-specific antigen test (PSA), this invasive test has high false-positive rates which can result in many unnecessary biopsies and complications. While researching the newly developed blood test, which could be a supplement to PSA tests, researchers compared blood samples of cancer patients and cancer-free participants. The best way to test your adrenal health is to measure your level of free key adrenal hormones such as cortisol and DHEA. The advantage of salivary testing is that with multiple samples taken throughout the day, we are able to map the daily diurnal curve of free cortisol in the body relative to DHEA level. After testing, I discuss how your cortisol secretion is affected by meals, snacks, exercise, stress and other factors. I teach the danger of having cortisol levels that are too low, because of how important cortisol is for the massive inflammation that occurs with meals. When your adrenal has secreted high levels of cortisol for a long time you may experience “Adrenal Exhaustion or Burnout” and your cortisol levels will be too low.
Higher cortisol levels may cause depression-type effects, high blood pressure, and loss of body potassium.  Too strenuous of an exercise regimen, or overtraining, can also cause high cortisol levels. Others have discussed the role of DHEA and its metabolites in helping to decrease cortisol levels. One of the most significant stressors to remove is the exposure to high-glycemic-load diets of refined sugars and carbohydrates that create insulin fluctuations and shift the HPA axis toward sympathetic over-activity. Individuals with adrenal fatigue are notoriously low in HCL, and HCL supplementation is therefore recommended for adrenal fatigue.
Just a three hour delay in getting your post-exercise nutrition can push you into a catabolic state.
Others have looked at cortisol levels as a way to discriminate proper training intensity from “overtraining.” Cortisol increases with increasing time of intense exercise. Some have suggested that one way to reduce cortisol after training is to spike insulin levels after a workout. See below for supplements that may help control increased cortisol levels secondary to intense exercise.
Phosphatidylserine (PS):This phospholipid, which has been known mainly for its cognitive effects, seems to have cortisol-suppressive properties. Zinc: A mineral that is an essential cofactor in over 300 enzymatic reactions in the body including testosterone synthesis and steroid hormone production.
Vitamin A: This vitamin, which is often times used for healthy skin function, may also minimize cortisol levels according to Dr. Gingko Biloba: This herb is mainly used for its excellent cognitive effects by increasing blood flow and oxygen to the brain, which can lead to greater mental focus and concentration.
DHEA: This natural hormone of the adrenal glands that declines after the age of 30 seems to have some powerful anti-cortisol effects.
Androstenedione: This prohormone is a direct precursor to testosterone, which may explain its anti-cortisol effects since increases in testosterone can blunt elevated cortisol levels secondary to intense weight training. Even young men can have low testosterone from a condition known as hypogonadism that causes the testicles to function improperly.


Men with low testosterone can also experience other health issues that are important to address. Sign up for EmaxHealth newsletter and receive daily health tips delivered straight to your inbox. EmaxHealth is for informational purposes and should not be considered medical advice, diagnosis or treatment recommendations. But it is an issue that can be difficult to discuss in a consultation with a health care professional, especially if your partner maybe with you, or if you are from Ireland, there was no such thing as sex in Ireland before The Late Late Show (in house joke amongst the Irish!). The symptoms of low testosterone maybe missed as they are very similar to other conditions. Having diabetes should not stop any woman from having a baby, but issues can arise if blood sugars and diabetes management are not controlled for both mother and baby.
This can be especially true if you are combining alcohol and sex, as alcohol can lower your blood sugar levels. The length of time you can safely keep the pump off without an injection depends on how active you are.
But if you are in a new relationship, you maybe tempted not to tell your partner about your diabetes, which can lead to problems, as sooner or later your diabetes will emerge and your partner will need to know how to handle certain situations when you can’t.
As average obesity levels have risen over the past 50 years, Type 2 Diabetes cases have increased proportionately. Startlingly enough, if you have Type 2 Diabetes, you are twice as likely to suffer from Low-T. This is crucial because high cholesterol does not have symptoms and prostate cancer may be asymptomatic. MMi can measure your cholesterol levels and advise you on your risk before seeking treatment for testosterone deficiency. Because high cholesterol does not have symptoms, many men may not know that their cholesterol is too high.
The good news is that more than 99 percent of men survive prostate cancer when the disease is caught early. Take the first step and have your blood levels drawn at MMi – it may just save your lift. Growing old is a natural process that can be enjoyed and savored as long as it is approached with the right knowledge and attitude. Len Lichtenfeld, deputy chief medical officer of the American Cancer Society, researchers have spent a decade or more trying to develop a blood test to detect cancer.
The ease and benefits of undergoing a simple blood test far outweigh the negative consequences that could result from a failure to do so. For most men, we recommend a simple blood test due to its effectiveness in diagnosing a wide variety of conditions.
The findings were that cancer patients have specific differences in their serum-free fatty acids and their metabolites. 24 hour testing is the most time-consuming test, but is also an extremely accurate determination of adrenal and the levels of other hormones. Cortisol, on the other hand, is the highest in the morning and lowest in the evening before bedtime. Your cortisol level tested after a quiet and relaxing morning will be very different from that taken when you are under tremendous stress. Stress to the human body can include trauma, anxiety, infections, surgery, and even resistance training and aerobics. Esther Steinburg of the NIH described cortisol as being vital for this protection, and that without the dampening effects of cortisol you can develop chronic inflammatory illness. Ashwaganda: High-grade herbal (Adrenal Innate Response or MediHerb) supplement with that improves the action of cortisol at the cellular level. Other adrenal stressors to avoid are caffeine, stimulating drugs, alcohol, allergenic foods, artificial sweeteners (aspartame), nicotine and partially hydrogenated oils. Avoiding fats (both saturated and unsaturated) and excessively lowering cholesterol levels, as with statin drugs, deprives the adrenals of adrenal hormone precursors, increasing the risk for such conditions as depression and impulsive behavior.
Cortisol breaks down tissues, and exercise, of course, tends to break down tissues as it builds stronger tissues in response to the exrercise.
Insulin actually interferes with cortisol and may enhance cortisol clearance from the body. Recent research shows that 800 mg Phosphatidylserine given in two divided oral doses helps suppress cortisol secondary to intense weight training. This supplement may help prevent the decline in testosterone that occurs during and after an intense resistance training session.
Getting enough zinc may make the difference between making great gains and only making average gains in a weight training program.
It may also have additional benefits of decreasing cortisol levels according to an abstract presented at the 1997 conference on cortisol and anti-cortisols. Many abstracts presented at the 1997 conference on cortisol and anti-cortisols discussed DHEA’s role in decreasing cortisol levels. Different metabolites of androstenedione and testosterone, such as 4-androstenediol, 5-androstendiol, and nornadrostenediol, may also exert some anti-cortisol effects.
What that means is the testes don't produce enough testosterone that can also alter the amount of sperm produced, leading to infertility. As the penis has an extensive nerve and blood supply this can become damaged over time from diabetes, from vascular damage and also diabetes neuropathy. If you have concerns or require further information the American Diabetes Association have the ADAM Questionnaire that you can take to assess your symptoms.
These issues occur similar to men, from vascular damage and diabetes neuropathy (damage to the nerves), as there is an extensive nerve and vascular supply to the vaginal area in women.


Also psychological issues such as depression, stress and anxiety can lead to problems with sexual performance.
This likelihood increases with age, as elderly men often experience the symptoms of lower testosterone levels. When it comes to managing Type 2 Diabetes, many of the most helpful things are daily habits such as managing stress, eating a healthy diet and engaging in physical activity. A study presented at the annual meeting of the American Society of Anesthesiologists in San Francisco reveals that among the more serious conditions that can be diagnosed through this newly developed blood test are early-stage lung and prostate cancers as well as their recurrence. For this reason, we highly recommend that all male patients obtain blood tests on a regular basis.
The importance of this is that it may provide important information to guide clinicians in their course of treatment, especially in high-risk patients. Some scientists dream of a test people could take at home using drops of blood from a finger prick, concluded Lichtenfeld. Saliva testing is preferred over blood testing as it measures the amount of free and circulating hormones instead of the binded hormone commonly measured in blood test.
If you are using saliva testing, you will take 4 samples of cortisol at 8 am, noon, 5 pm, and before bedtime. If you are taking oral or applying topical supplemental hormone creams such as DHEA or pregnenolone, the saliva test results may be elevated immediately.
Protein is important for the adrenals and requires adequate stomach acid (HCL) for digestion.
The figure below shows that you must eat within three hours of exercise to avoid a “net” protein breakdown from these factors. Spiking insulin levels after a workout (by consuming a high-glycemic index carbohydrate) may help minimize excessive cortisol levels since cortisol levels are elevated significantly after resistance training. Some research suggests that glutamine levels may be a good indicator of overtraining or overreaching. This study also showed that the individuals taking Vitamin C (an extra gram a day) improved their testosterone:cortisol ratio by over 20%. He suggested this in an abstract he presented at the 1997 conference on cortisol and anti-cortisols. DHEA is fat soluble so it can cross the blood-brain barrier and have some effects on cognition as well. For many men the problem of erectile dysfunction can be the first time they find out they have diabetes. It is important to discuss with your medical team, as your sexual issues may not suggest a physical problem, it maybe psychological, vice verse or a combination of both. If you have Type 2 Diabetes as well as these following symptoms, you could be at greater risk for Low-T: fatigue, decreased sex drive, reduced lean body mass, lack of energy or erectile dysfunction. If you are obese or genetically predisposed to the disease, these daily habits will prevent its onset if you are not already diagnosed. Sapse noted some of the other nutritional supplements to lower cortisol levels in the body that include gingko biloba, Vitamin A, Zinc, and acetyl l-carnitine. This type of decrease in cortisol can lead to increased muscle and connective-tissue hypertrophy and enhanced recovery from training. The EGb 761 standardized gingko biloba extract was used in this study and many of the studies showing that it enhances cognition. Other names for hypogonadism include lower serum testosterone, gonad deficiency and andropause. Erectile Dysfunction can also occur or can cause psychological issues, many people with diabetes suffer from depression and may not even realize it. In more serious cases of Type 2 Diabetes, insulin medications and even surgery can be necessary, but the most common and beneficial way of managing the disease is through purposeful, healthy lifestyle changes.
By decreasing cortisol levels, the testosterone: cortisol ratio can increase possibly relating to anabolic effects.
Since Vitamin C also decreases your chances of suffering from a cold or flu infection by 30% (14) and may aid in collagen synthesis, it would be wise to take some extra vitamin C when involved in an intense weight-training program. The good news is that the condition is easily treated and is the only reason clinicians should prescribe testosterone therapy to men. PS seems to only decrease cortisol levels when they are elevated and does not seem to decrease cortisol levels below normal.
An oral glutamine supplement can help athletes prevent some of the symptoms of overtraining.
Decreasing cortisol levels or suppression of cortisol production is not desired in many instances as it may cause adverse effects such as a decrease in reaction time to wounds and healing mechanisms in the body. The primary type stems from autoimmune disease, thyroid, liver or kidney dysfunction and blood disorder where the body absorbs too much iron (hemochromatosis). There are two forms of PS available: a brain cortex derivative and a soy lecithin derivative. It also helps provide a source of fuel for the small intestine and may enhance anti-inflammatory function. Secondary hypogonadism is caused by infections like HIV and AIDS, genetic disorders, use of steroids or opiates, radiation, tumors of the pituitary gland, injury from radiation, nutritional deficiencies and rapid weight loss.



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