Hello XXXXXXX

The history provided is very less and does not give details of your age, duration of diabetes, any other medical illness, or any medications if taken, or any lab parameters.

But i will answer your query on a broad basis and give you a brief information.

Long term (after 10-15 years) uncontrolled diabetes does cause problems due to micro and macrovascular damage of blood vessels , which in turn lead to diabetic neuropathy.

Diabetic neuropathy can manifest as erectile dysfunction in the late stages.

But in case of recent onset of diabetes, and if you are on proper medications, with blood sugar under acceptable levels , and a HBA1C less than 6.0, then the chances of erectile dysfunction are very less.

But there is in no way any issue that can hinder you from having kids, as diabetes does not affect the fertility of any affected person.

In case, you want to check your fertility, you can undergo a semen analysis, after 3 days of sexual absteinance (no masturbation or sexual activity).

This will give a clear idea of your fertility and clear any doubts that you may be having.

Hope I have answered your query.

If you have any more queries, I will be available to answer them as well.

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Hello XXXXXXX

Semen analysis is a microscopic analysis of the semen, that is collected after you masturbate and ejaculate in the laboratory (in your privacy), and it cannot be done at home.

Metformin is a very good drug, that helps to fight insulin resistance, and also helps in reducing body weight and i would suggest you to continue to take the medication as advised.

Do not stop the medication (Metformin) as and when you think it is right, without consulting a doctor. This can lead to worsening of diabetes and complications like nephropathy, retinopathy and neuropathy over the long term.
XXXXXXX tea helps as a antioxidant, but it is not effective to control or treat diabetes mellitus.

You should quit drinking, similarly as you have stopped smoking.

A few steps you should take to control your diabetes include:-

1. Adherance to medications strictly and religiously.

2. Making sure that your fasting sugars - are always below 126 mg/DL (Or atleast below 150 mg/dl)

3. Get a HBA1C test ( used to monitor Diabetic control) - once in 3 months and it should be below 6.5

4. If the HBA1C is above 6.5, checking your blood sugars more frequently might be needed. In addition, consultation with a doctor for titration of medication dosage or addition of insulin or other oral medications to get a better control of blood sugar.

5. Make sure your blood pressure is controlled. Ideal Below 130 / 80 mmhg.

6. Make sure that your blood cholesterol levels are normal.

7. Follow a healthy and diabetic diet and maintain a BMI below 25

8. Regular physical exercises at least 5 times in a week - will help to improve insulin resistance and control blood sugars better.

You might benefit by consulting a diabetician more regularly, for proper diabetic advice and control.

Wish you good health.

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