In a survey of 142 type 1 diabetic males, 40—59 years of age, 76 (54%) had erectile dysfunction (ED). Using a multi-variate analysis, the six most significant associations with ED were age (p = 0.009), duration of diabetes (p = 0.001), glycaemic control as assessed by HbA1c (p = 0.003), weight (p = 0.003), hypertension (p = 0.06) and microalbuminuria (p = 0.04). ED was associated with a higher cardiovascular risk score.
In an assessment of categorical variables, retinopathy and laser therapy were also significant, reflecting the severity of underlying microangiopathy. It is concluded that despite advances in the management of micro- and macrovascular complications over the past 30 years, ED is still a common problem in diabetic males requiring careful assessment and appropriate treatment.
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