What should I do if taking blood sugar-lowering medication affects sexual function?

Generally, taking antidiabetic medications does not affect sexual function. The detailed explanation is as follows:

When a patient has diabetes, their sexual function may be affected. This is because prolonged high blood glucose levels can lead to polyol accumulation in nerve fibers, causing nerve fiber degeneration and resulting in decreased sexual function. Furthermore, this condition affects the peripheral nerves, leading to peripheral neuropathy, which disrupts vascular regulation within the erectile tissue of the corpus cavernosum, causing insufficient congestion of the corpus cavernosum. As a result, men may experience difficulties with erection, premature ejaculation, and reduced libido. However, taking antidiabetic medications helps maintain blood glucose at a stable level. Proper use of these medications to control blood sugar can improve insulin resistance and increase testosterone levels, thereby improving sexual function to some extent.

The use of antidiabetic medications should always be conducted under a doctor's guidance. Additionally, diabetic patients should reduce their intake of high-sugar and high-fat foods in daily life, maintaining blood glucose levels within an appropriate range to avoid adverse effects caused by prolonged blood glucose fluctuations.