Document Type : Research Article
Abstract
The results of examination and treatment of 17 patients with erectile dysfunction (ED) with coexistingdiabetes mellitus (DM). In order to achievein-depth detail of fluctuations in blood glucose levels, a multi-day monitoring technique has been introduced, followed by further therapy adjustment. During examining with means of functional diagnostic methods, all patients were diagnosed with serious disorders of regional, organ hemodynamics and innervation, in the absence of significant hormonal changes.
During daily monitoring of glucose fluctuations, there were noted uncontrolled, frequently repeated jumps of the given indicator, especially during sexual intercourse, with long trace of fluctuations. Uncontrolled and formidablypredictable episodes of hyperglycemia are regarded as the immediate cause of progressive regional pelvic microangiopathy and neuropathy, which are worsening the prognosis of the diseases course.