Sexual dysfunction is of grave concern to men and women. Penile erectile dysfunction is a physical manifestation of hyperinsulinemia (type 2 diabetes).
PED, heart disease, high blood pressure, retinopathy and Peyronie’s disease are prominent clinical pathologies of hyperinsulinemia (type 2 diabetes).
Peyronie’s disease is penile arthrosclerosis of the corpora cavernosa with erectile curvature. Locker-room camaraderie may hail erectile curvature as a desired achievement. The patient rarely mentions erectile curvature to a doctor during an examination. Correlation of hyperinsulinemia (type 2 diabetes) pathogenesis of penile atherosclerosis with hyperinsulinemia pathogenesis of systemic arteriosclerosis is lacking in medical communities worldwide.
The marketing of Viagra and Cialis is extremely successful. According to Fox News, each pharmaceutical company acknowledges 20+ million users. Just as in the time of Avicenna, each one of the 40+ million users must be considered diabetic until proven otherwise by oral glucose tolerance with insulin assays.
PED is a clinical pathology of hyperinsulinemia (type 2 diabetes), even in those with blood sugars considered normal. Until proven otherwise by oral glucose tolerance with insulin assays, PED and all other clinical pathologies of diabetes (mainly heart disease, high blood pressure, retinopathy and Peyronie’s disease) are hyperinsulinemia (type 2 diabetes).
The pathology of diabetes begins when blood sugars and glycated hemoglobin are “normal”. The very earliest laboratory diagnosis of diabetes is neither by fasting blood sugars nor by glycated hemoglobin, but only by insulin assays with normal glucose tolerance as affirmed in this text.
The “silent diabetes epidemic” will be arrested and then reversed when physicians and patients demand the earliest laboratory diagnosis and treatment of diabetes. Until the earliest laboratory diagnosis of diabetes becomes a standard procedure, the worldwide clinical “silence” of diabetes will continue to remain an enigma of clinical medicine.