Prevalence of self-reported erectile dysfunction in people with long-term IDDM.
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.


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.
Klein
R
R
Department of Ophthalmology and Visual Sciences, University of Wisconsin-Madison 53705-2397, USA.
Klein
B E
BE
Lee
K E
KE
Moss
S E
SE
Cruickshanks
K J
KJ
D000328:Adult; D000367:Age Factors; D017668:Age of Onset; D000428:Alcohol Drinking; D001794:Blood Pressure; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000503:physiopathology*; D003929:Diabetic Neuropathies / Q000503:physiopathology; D003930:Diabetic Retinopathy / Q000503:physiopathology; D007172:Erectile Dysfunction / Q000453:epidemiology*; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D010410:Penile Erection; D015995:Prevalence; D012044:Regression Analysis; D018570:Risk Assessment; D012907:Smoking; D012959:Socioeconomic Factors; D013997:Time Factors
D006442:Glycated Hemoglobin