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Does Diabetes Cause Erectile Dysfunction and Urinary Incontinence? Yes, diabetes significantly increases the risk of both conditions. Studies show diabetic patients have 2-3 times higher erectile dysfunction (ED) rates, with 50-75% of Type 2 diabetes patients experiencing some degree of ED. Why it happens: Chronic high blood sugar damages blood vessels and nerves essential for sexual and bladder function. It also reduces testosterone levels and causes hormonal imbalances. Urinary incontinence risk: Over 50% of diabetic patients experience urinary dysfunction due to nerve damage affecting bladder control, increased urine production, and frequent UTIs. Management: Maintaining HbA1c below 7% is crucial. Lifestyle changes including regular exercise, smoking cessation, weight management, and stress reduction help significantly. Treatment options include PDE5 inhibitors for ED and pelvic floor exercises for incontinence. Early detection and intervention yield better outcomes. The good news: with proper blood sugar control and appropriate treatment, significant improvement is possible in 60-80% of patients.