title: Sexual Dysfunction in Type 2 Diabetes at Diagnosis: Progression over Time and Drug and Non-Drug Correlated Factors.
abstract: OBJECTIVE
  To present the longitudinal data of the SUBITO-DE study, a prospective survey involving male patients with new or recently diagnosed type 2 diabetes mellitus (T2DM) (<24 months).
  
  
  METHODS
  Sexual function was assessed in male patients with T2DM at baseline (phase 1) and after a mean follow-up of 18 months (phase 2). Standard metabolic parameters and sexual and depressive symptoms were evaluated.
  
  
  RESULTS
  Six of the 499 enrolled patients died of different causes during phase 1. Of the 493 surviving men invited to participate in phase 2, 450 (mean age 59.0±9.0 years) (90.2%) accepted and 43 (8.2%) were lost to follow-up. As compared to baseline, the proportion of the men who reported improvement in erectile dysfunction (ED) at follow-up was nearly double that of the men who reported worsening of ED (22.6% vs. 12.8%). The increase in frequency of sexual activity the men reported at follow-up assessment indicates that many never treated before baseline were taking an ED drug during the study period (106 subjects). Phosphodiesterase type 5 inhibitors (PDE5i) were the ED drugs most commonly taken at both baseline and follow-up. An overall improvement over baseline values was observed in metabolic targets for T2DM and depressive symptoms. Conversely, no change in lifestyle behaviors was recorded during the study.
  
  
  CONCLUSIONS
  Sexual dysfunction is a major concern in men with T2DM. The SUBITO-DE study demonstrates that, when combined with adequate counseling and tailored PDE5i therapy, an integrated approach to achieving metabolic targets in men with T2DM can improve sexual function as well as depressive symptoms.
authors.affiliation: Endocrinology Unit, Major Hospital, Bellaria, Bologna Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Corona
authors.affiliation: Metabolism and Diabetes Unit, ASL Turin 5, Chieri Italy.
authors.forename: Carlo B
authors.initials: CB
authors.lastname: Giorda
authors.affiliation: Department of Medicine Policlico of Messina, Messina Italy.
authors.forename: Domenico
authors.initials: D
authors.lastname: Cucinotta
authors.affiliation: Statistical Consultant for Associazione Medici Diabetologi, Rome, Italy.
authors.forename: Piero
authors.initials: P
authors.lastname: Guida
authors.affiliation: Chaira Medica Association, Chieri, Italy.
authors.forename: Elisa
authors.initials: E
authors.lastname: Nada
mesh_terms: D000368:Aged; D003430:Cross-Sectional Studies; D003866:Depressive Disorder / Q000150:complications / Q000175:diagnosis; D003924:Diabetes Mellitus, Type 2 / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D007172:Erectile Dysfunction / Q000175:diagnosis* / Q000188:drug therapy / Q000453:epidemiology / Q000209:etiology; D005500:Follow-Up Studies; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D007407:Interviews as Topic; D008019:Life Style; D008297:Male; D008875:Middle Aged; D058986:Phosphodiesterase 5 Inhibitors / Q000627:therapeutic use; D015995:Prevalence; D011446:Prospective Studies; D012720:Severity of Illness Index
chemical_list: D007004:Hypoglycemic Agents; D058986:Phosphodiesterase 5 Inhibitors