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Erectile dysfunction and diabetes - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Erectile Dysfunction
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
Doctor :   Hi
Doctor :   How can I help you ?
Doctor :   Sorry for this .
Doctor :   It was wrongly typed.
User :   hello dr i am 47 male a little over weight with diabetees and i take insulin for the past 3 years i have problem with maintaining erection and i have taken viagra and other medication but sometime it works and some time it doesnt i want to be able to have a rock hard erection, pls can you tell what is the best way for it sometime when i take viagra i develope erection but its somehow soft i want to be able to achieve a solid rock hard erection pls assist
Doctor :   Ok.
Doctor :   May I know your exact height and weight ?
User :   when i take viagra and other relevant medication sometime it works but i never get rock hard erection pls advise what is the best way forward
User :   height 1.73 cm weight 135 kg
Doctor :   Ok.
Doctor :   Is it 135 kgs or 135 pounds ?
User :   135 kilo grams
User :   i have always been this weight
Doctor :   Your BMI is 45, Actually it must not be more than 24.
User :   ok
User :   but doctor until 3 years ago i had no problem
Doctor :   Your weight has to be somewheer around 65-70 kgs.
User :   i now have problem with maintaning and keeping erection and most of the time is soft but i want to have solid hard erection
Doctor :   You have to understand that you are almost double what you have to be.
Doctor :   Obesity is the first major cause for Erectile dysfunction .
User :   i do know this doctor and i am trying to loose weight but until then how can i have rock solid erection
User :   my main issues are diabetees and obessity but i am working on it but until then pls assist how to reach solid hard erection
Doctor :   Please do not panic , Let me explain you but please do not worry or get overstressed which can can aggravate the problem
User :   i dont take alcohol but smoke and i am cutting on that so i know the cause and working to i
Doctor :   1. Could you tell me your blood sugar levels since last six months and your HbA1c ?
User :   but pls help me to have solid rock erection
User :   my suger is between 10 to 15 avarage and now i am taking victozza which helps a lot also i have started light exercise after i started working since i was unemployed for 5 years prior to this and this made it wose but now i am slowly improving
User :   doctor i know in 6 months time i be much better but until then pls assist me with the issue i mentioned
Doctor :   I can surely help you but without these controls and checks and even after Viagra , if you are having a bad erection , you might need some stronger drugs like Psidanafil citrate along with proper diet, exercise and blood sugar levels control.
Doctor :   Could you elaborate on 10-15 average as the blood sugar levels are not indicated like this ?
User :   what is psidanafil and the different with viagra
Doctor :   It is the same , but I am asking you to discuss with your Sexologist or Treating physician and if required take a higher dose .
User :   the machine i have shows in the morning 12 after food 14 to 15 but since i took victozza its avarage 13 to 14 and somtime reaches 11 where as before it was between 17 to 23 the ideal should be between 4 to 8
Doctor :   It is a wrong Blood sugar machine that you are using.
User :   then doctor what if instead of one viagra table 100 ie 2 which is 200 does this work
Doctor :   Please take a standardized version like Accucheck , a German one which is the best.
User :   what a bout having injection
Doctor :   Or please take blood tests done at a Standard Lab.
User :   but one is reading use to be 375 and now 175
Doctor :   I would say unless blood sugar levels are controlled and obesity is not decreased these medicines will have minimal effect, even injections.
User :   but what is the most effective medication for having hard.rock erection
Doctor :   If you have had good erection previously though your weight was same, it was because you were rather young at that age.
Doctor :   You should understand that you are a middle aged man with 3 yrs of Insulin usage which is a major reason for Erectile problem.
User :   pls can u tell the best,stronger and most effective medication for having hard erection on the market
Doctor :   Viagra works best, rather one more drug id Confido from Himalaya group of drugs.
User :   i know all these but having known my situation what is the strongest medication u can recomend
User :   can i take two viagra tablets instead of one
Doctor :   I cannot prescribe that as I have not physically examined you , please try 'Confido'
Doctor :   Also recently there is a Prosthesis which can be used with an external pump for strong erection which does not need any surgery .
Doctor :   You can try this with the Andrologists in Your place.
Doctor :   The Penis can be made rock gard by pumping with a hand and this prosthesis helps.
Doctor :   Hope you have followed.
Doctor :   Do you want to ask anything else ?
User :   SO YOU THINK BY TAKING TWO VIAGRA TABLETS INSTEAD OF ONE WILL HAVE A BETTER RESULT ALSO THIS CONFIDO HOW MUCH SHOULD TAKEN AND HOW LONG TO TAKE EFFECT
User :   WHATABOUT CIALLIS OR SIMILAR TYPE
Doctor :   I cannot prescribe you the exact dosage and prescribe you drugs because of legal problems and due to medical ethics , that I cannot prescribe you a drug without physically examinin you .
Doctor :   Hope you understand
Doctor :   There are many drugs like Viagra or Levitra but you need to experiment with them considering the Efficacy , side effects and how you fair with them in your sexual function.
Doctor :   And take the help of a good Andrologist to help you out.
Doctor :   Hope you are following.
User :   I ONLY WANT YOUR PERSONAL OPINION IN YOUR PERSONAL OPININON THATS ALL
User :   SO BASICLY THERE IS NO RIGHT OUT SOLUTION FOR ME UNLESS I LOOSE WEIGHT AND CONTROL MY SUGER
Doctor :   Yes, I cannot find any other solution as I have seen many cases and my professional experience says there are no short cuts for this and any medication has a temporary efficacy but not permanent change.
User :   I HEARED THAT THERE IS AN INJECTION THAT WHEN U HAVE IT MAKES YOUR PENIS HARD FOR SOMETIME IS THIS TRUE
Doctor :   You can try Viagra, Cialis, Levitra and Caverject , but these need prescriptions and have to very carefully managed and doses adjusted to see their efficacy and excess usage can actually cause more harm that you need to take higher doses every time and get resistance to drugs .
User :   SO WHAT IS THE BEST TEMPORARY MEDICATION ARE WHICH ONES
Doctor :   Injections can be given if your blood sugar levels are under control . other wise it can damage your blood vessels.
Doctor :   Viagra, Cialis, Levitra and Caverject apart from your regular Diabetic medications but need an Andrologist's opinion on it.
User :   OK THANKS SO I THINK TO CUT COST I SHOULD IN TOTALL GIVE UP SEX
Doctor :   Hope you have followed.
Doctor :   There have been whio have improved
Doctor :   So please dont loose hope.
Question is related to
Drug/Medication
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