According to the Director General of Disease Control & Environmental Health Department, Tjandra Yoga Aditama in Jakarta, Thursday (5 / 11), diabetes resulted in the death of 4.7 per cent of urban population in that age group.

While the national prevalence of diabetes according to the examination of blood sugar in people aged over 15 years in urban areas, Tjandra said quoting Health Research Association (Riskesdas) In 2007, a total of 15.7 percent.

“And nearly 80 percent of cases are diabetes type two. That is, an unhealthy lifestyle to be the main drivers of increased cases of diabetes in Indonesia,” said Tjandra.

This is supported by the results Riskesdas Year 2007 which show the high number of people who are obese (overweight), much less eating fruits and vegetables, less physical activity and smoking.

National prevalence of obesity common in people aged over 15 years reached 10.3 percent, the prevalence of eating less fruit and vegetables as much as 93.6 percent, the prevalence of 48.2 percent less physical activity and smoking prevalence of 23.7 percent.

According to Tjandra, the government tried to control the risk factors to reduce morbidity, disability, and death due to diabetes. Risk factors are defined, namely low fruit and vegetable consumption, lack of exercise, obesity, hypertension, smoking, hyperglycemia, hypercholesterolemia, and alcohol consumption.

“The focus on early prevention with promotive and preventive efforts, but of course without ignoring curative and rehabilitative efforts,” said Tjandra.

That, he said, among others, by campaigning for the application of health behavior to all groups of society through health educators and volunteers.

Diabetes is a chronic disease characterized by high blood sugar levels. Diabetes can causes impotence, the symptoms of Diabetes include: frequent urination, frequent thirst, hunger fast, and a decline in body weight in a short time. Obesity, heredity, and lack of exercise thought to play a role in the occurrence of diabetes. Meanwhile, some studies say, diabetes is also triggered by a deficiency of micronutrients such as chromium, zinc, selenium.

Many diabetics wrong with thinking that they need to consider only the consumption of sugar. In fact, good diabetes management requires control of the consumption of total carbohydrate, rather than just watching sugar intake. Other factors to consider is maintaining the body, reduce fat and saturated fat intake, increase fiber intake, and exercise regularly. For those who have level 1 or 2 diabetes, excess weight should be a major concern. Prevent and reduce excess body weight can improve blood sugar control and reduce the risk of complications associated with diabetes, such as cardiovascular disease.

What to do

People with diabetes does not mean abstinence. In fact, according to one expert, essentially all of the food may be consumed by diabetics as long as the amount in accordance with the needs of the body, and limit the intake of pure sugar and foods containing sugar. The recommended composition is 60-70 percent kabohidrat, 10-15 percent protein, and fat 20-25 per cent. Furthermore, the recommended diet is in small quantities but often, rather than rare, but many. The goal is to make food intake does not increase blood sugar levels dramatically, while during the interval between meals is not a drastic decline in blood sugar levels.

In addition to adjusting the diet, diabetics are also encouraged to exercise. Sports are suitable for diabetics is physical activity that burns calories, regular and measurable. For example, walking, running, swimming, or gymnastics. Exercise performed at least twice a week with the same time frame, for example Monday-Thursday. These are can prevent impotence for diabetes patience.

The popular drug anti-impotence, Viagra was not only efficacious for male virility

Viagra has side effects and side benefits was uncovered by researchers from the Montreal Heart Institute Study of Canada which also includes the latest report in the journal “Proceedings of the National Academy of Sciences”.

Through this research, they discover how to overcome impotence viagra mechanism may also help heart failure in patients with muscular dystrophy. Results of laboratory tests on mice which suffered from a type dystrophy shows that Viagra can maintain stable working heart function.

Own dystrophy is a genetic disease that causes muscles to weaken. Early signs of muscle weakness usually appears at age 5 years and then developed into paralysis at the age of 13 years.

Patients afflicted by this disorder are also at increased risk of heart failure due to weakening of the muscles that keep the organ pumping blood with a strong heart. For this reason, many patients with dystrophy died at an early age ie in 20 or 30 years.

The team from Montreal found that Viagra – which is called generic sildenafil - prevents the loss of a molecule called cGMP yng. This molecule plays an important role in maintaining vascular channels remain open. In the penis, this molecule can increase blood flow and treat impotence.

However, in the heart, these molecules help to ensure that organs receive proper blood supply and keep it healthy and strong. In people with normal heart, this molecule is able to prevent and withstand the impact of weakening muscle cells caused by dystrophy. Viagra works by blocking the function of an enzyme called PDE5, which could destroy cGMP.

Normally, after 3 minutes strong erection will be a bit weaker for blood interchange but then in short period of time it will back strong again. After intimacy as a starter, penis will enter vagina. Therefore stiff and strong erection is important to get through the vagina.

At the first period of marriage, usually vagina still narrow and stiff. Therefore strong erection is required so that it can go through inside vagina. After penis goes trough vagina, it will in and out vagina to reach ejaculation. Usually ejaculation will happen 5 minutes afterwards but for some men it can happen 30 minutes or more afterwards.

For those men it really required a strong erection that can stay for a long period of time. When ejaculation happen, sperm will release out from the penis and it is the end of coitus. It takes only short period of time after ejaculation to make penis back to soft and relax again.

So basically, coitus process starts from intimacy phase up to ejaculation phase. That is why maintaining erection to pass all of coitus activities is important. It is also important to have confidence during coitus that erection will remain strong until coitus is over so that both husband and wife will feel satisfied.

Satisfaction and confidence will effect erection on the next sexual activities. When failure happens, husband and wife will be disappoint, and husband especially, he will feel ashamed. So erection is the main key here. Without normal erection, husband unable to do any kinds of sexual activities.

For husband and wife, coitus succeed with normal erection is important. Coitus failure will be their measurement for erectile dysfunction.

Usually, the physical problems are related to age such as menopause or postoperative problem after vasectomy. Female Viagra has the same effect for both women and men. It increases blood circulation to sex organ and this blood circulation has an important role to arouse sexual passion.

It had also been reported from the study that 30 to 50 percent women feel that they being saved by Viagra. The effect is different for each individual of course because it depends on the doses they are taking. And around 43 percent from them are consuming placebo or sugar pills and they are also feeling saved.

Conclusion can even be made that Viagra is save for women. One of the women even described sex as a duty before she is using Viagra. And she said that Viagra change her life become more joyful.

At first we know Viagra as the first pill to heal impotence. It was big news in 1998 when it was being approved by The United States of America as a medicine for helping men. And it was so amazing that last year it has a tremendous sell for a million dollar – How Viagra Works and Doctor Prescription.

It was clearly mentioned that this small blue bills unable to help women who have sexual dysfunction. Rosemary Basson, one of researcher, had also said that learning women’s sexual stimulation is harder than men’s. She also added that Viagra only help women in several sexual stimulation case which related to blood circulation to sex organ.

Standard to measure men’s or women’s sexuality is also imbalance; it is like beauty standard for the media. For men, sexual function is easy to measure; their erection is easy to see. But for women, it is hard.

Women don’t have specific physical sexual organ that can be measured. This is still become a homework for many researchers

Here are the erections supporting factors:

1. Psychogenic
2. Physic health
3. Situation

Those three factors determine the ability to reach normal erection. It doesn’t matter how many sexual stimulation a man can get, if something wrong with his psychic and physic condition, erection will hard to reach.

Many people are getting confuse when they are facing erectile failure even though they receive many sexual contact and have great passionate towards their partner. The reason is because those factors above unsupportive erection process.

Psychogenic factors to reach normal erection have more roles in young men’s life. Even though they are tired, as long as they have great sexual passion, normal erection can be reached. Tired is not a problem for they are having strong and healthy body. But once they are in labile conditions like having fear of catching disease, partner’s pregnancy, and sins, erection process will become hard.

On the other way, for elder men, the importance of psychic and physic are equal. They have to get peaceful soul and fresh and normal physic conditions. When their physics are tired, erection will fail. Sometimes they didn’t notice that their body was tired. They went home from work, in healthy conditions then tried to make coitus but got surprise for having weak erection. They started to worry and confuse, and without any notice, those kinds of feelings lead them to erectile dysfunction.

Those two main factors, which are psychic and physic, are having more influence in determining erection ability. The influence of situational factors is least. It is hard to determine which factors have been more dominant when these three factors go totally mixed up. During medical treatment, these three factors have to be carefully examined.

Premature ejaculation

Here are some tips to cure premature ejaculation.

1. Different style of masturbation

This technique is being known as stop-start technique. Start to rub and shake the penis with a dry hand. When it nearly reaches ejaculation, stop it for seconds till the desire become less a bit. Then simulate again. Do this technique 3 times before finally letting ejaculation to occur. Do this technique every night for two weeks. Then, with the same stop-start technique, put some lubrication on hand. Start slowly and then with a full power.

2. Medicine therapy to Cure Premature Ejaculation

When the first technique is fail, consult with doctor whether medicine like Prozac can be used. Medicine usually cause side effect of holding orgasm. On one research, by consuming Prozac, a 30 seconds men’s ejaculation can stay up to 5 minutes.

3. Partner corporation

When you have normal ejaculation in masturbation but having problem when you have sex with your partner, then you should try this step. Try with woman position on top of you, and together stimulate each other. When it is nearly to reach ejaculation, put your penis inside the vagina then shake it for once or twice.

When you do it often, you will learn to have ejaculation inside your partner’s vagina. If it still doesn’t work, perhaps there are some anger problem, fear or psychological problem that make you heart to orgasm. Try to communicate it with your partner or having consultations session with sexual therapy specialist.

Beside premature ejaculation, men also have hard ejaculate problem. This happens to 15 men out of 100. It seems like a tiny problem but doctor thought that that condition can ruin a relationship and lowering the men’s image.

At first women will put compliment on their partner’s strength, but then they will curious on their ability to satisfy a man. So when you have inhibited ejaculation problem, consult it with the doctor. It can be caused by diseases like diabetes, prostate or other vein problem.

And when you have a painful ejaculation, consult it too with the doctor. Ejaculation never causes painful and when it does it can be a sign of hernia or prostate infection. You should read this article 4 Techniques To Cure Premature Ejaculation for more information how to cure the premature ejaculation.

And it got more complicated by having other disease such as diabetes or heart disease. Those kinds of diseases required some more medical treatment. However, most doctors advise to follow some basic guidance to have a passionate sexual life as mention bellow:

1. Stop smoking

Dr. Crenshaw said that smoking has a bad effect to your sexual ability. Penis requires smooth blood circulation so it functions well. Smoking constricts penis vena and makes erection unable to stay for a longer period.

When you want to be strong still at the age of 40, stop smoking now.

2. Reducing alcohol

It is true that one glass or two glasses of wine can arouse your desire but when you consume more than that, you will lose your ability to orgasm or even worse, you could lost your ability to do erection. Beth Alexander, M.D., the sexual problem advisor and a committee member in Department of Family Practice in Michigan State University College also mentioned that alcohol can trig hormonal changes which can reduce sexual desires.

3. Perusing medicine

Many medicines have effect to your sexual responds. Dr. Alexander said that high blood pressure medicines, antidepressant like fluorite hydrochloride (Prozac) and lithium, steroid, stomach medicines, and beta-blocker are only some of other hundred medicines that can take away your strengthen. When you suspect medicine that put effect on your sexual life, ask doctor for it whether you can change it or reducing the doses.

4. Slowing down

Don’t be in a rush. If you keep busy roaming around here and there and working overtime with more than 50 hours per week, you will soon have sexual problem. Dr. Alexander said that if you can change things that make you depressed then do it, you will reduce your stress by giving more time to yourself. It will help you fix your sexual performance. Find a way to relax regularly; try to walk in the neighborhood or having fun for a certain time with your dog before you go to bed.

5. Enough sleep

Avoid sex when you are tired. When you force yourself to have sex on that condition you will face disappointment. Shirley Zussman, Ed. D., Marriages and sexual therapist specialist and also as one of the director of Association for Male Sexual Dysfunction in New York City said that sexual ritual cannot be the last place to let go off your energy after having an exhausted day. She advises us to spend special time for sex. Indeed that most of people prefer to have spontaneous sex, but in long term sex can increase something in couple relationship. That is why special time for sex with full of energy and spirit is good for relationship.

6. Relax

No matter how high one experiences in bed, once in a while he will have sexual frustrations. According to Marry Klein, Ph. D, a marriage counselor, a professional sexual therapist specialist in Palo Alto California and an author of Ask Me Anything: a sex therapist answers the most important questions for the 90s, when those things occur, better not to think about it seriously. It will only lead you into a chronic sexual dysfunction.

Read this article for other solution for impotence patient, just like a pimple, everyone, once in a while in his lifetime will experience it. It is the same as sexual life. When you experience it, don’t take it as a big burden. You have to believe that it is normal and it won’t happen again, otherwise, your worries will lead you into deeper sexual problems.

When the sexual life of these patients has interferences, it can increase patients stress and disturb diabetes therapy process. Diabetes is damaging vein and nerve in patient body.

It can create a complication like heart artery damage, brain artery damage, feet, kidney, eyes, sex and nerve damage. Diabetes is one of the highest death causes beside heart disease and cancer. Vein damage will delay blood circulation to penis or vagina and clitoris.

For women, this can reduce their sexual intention. Besides that, diabetes also make vagina liquid become less that will cause pain during the sexual intercourse. However, diabetes patients can still enjoy their sexual life with their partner. They need to reduce their stress and get enough rest.

The important thing is that they communicate well with their partner. Together find the way out for any sexual problem that occur and when it is not working, try to find the third party as a consultant such as sexual therapist.
Sex satisfaction is depending on communication pattern between partners. Increasing affection, inventing romantic situation and moment, and doing foreplay for a longer period of time are some actions that can be done.

Longer foreplay will help to stimulate sexual intention and increase blood circulation to all part of the body, including penis, vagina and clitoris.Another factor that should always be keeps in mind so that the sexual life of diabetes patients are back to normal is healing the disease itself. Treatments will not only reducing blood sugar but also removing the risk of having complication..

But in fact, Diabetes Mellitus patients can still have a good quality of life as long as they have got discipline in their treatment, change their life style and control their blood sugar every day. 1-2 years diabetes patients perhaps will not sense a thing but 5 years diabetes patients who never control their blood sugar will get complication on their illness including impotence.

Chronic and yearly diabetes illness has several signs such as very often pee, always hungry and thirsty, easy to get exhausted, hard to heal the wounds, and high sugar level in blood and urine.

Diabetes patients can also get illness complication like heart disease, stroke, kidney failure, and impotence. However, the impotency of diabetes mellitus patients can be cured 100%.

They just have to know where the source of the problem is. Is it in the vein or at the low hormone level. It is going to be easier to cure when the cause had known. Even though impotence can be cured, many doctors still suggest their patients to do preventive actions by controlling their blood sugar.

Having discipline in controlling blood sugar will save diabetes patients from impotence. What kind of actions can be done then? Beside consume medicine and have insulin injection regularly, healthy way of living has also an important role. For example, patients can do diet when they have obesity problem, play sports three times a week, eat enough and balance food, have enough rest, and settle every problem that cause stress and depression.

Depress and stresses are two of the main reasons of impotence. Depression can cause impotence not only to diabetes patients but also to healthy people. However, diabetes patients have vein problem that make them hard to experience erection and have a bigger chance to be impotent than healthy people.

A recent research that is being published in Journal of Urology had said that depression become one impotence factor for diabetes patients. Ways to avoid it is by settle every problem and always think positive.