Diabetes mellitus (DM), a chronic metabolic disease characterised by elevated levels of blood glucose, is among the most common chronic diseases. The incidence and prevalence of DM have been increasing over the years. The complications of DM represent a serious health problem. The long-term complications include macroangiopathy, microangiopathy and neuropathy as well as sexual dysfunction (SD) in both men and women. Erectile dysfunction (ED) has been considered the most important SD in men with DM. The prevalence of ED is approximately 3.5-fold higher in men with DM than in those without DM. Common risk factors for the development of DM and its complications include sedentary lifestyle, overweight/obesity and increased caloric consumption. Although lifestyle changes may help improve sexual function, specific treatments are often needed. This study aims to review the definition and prevalence of ED in DM, the impact of DM complications and DM treatment on ED and, finally, the current and emerging therapies for ED in patients with DM.

中文翻译：

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勃起功能障碍和糖尿病：环境和治疗的大熔炉

糖尿病（DM）是一种以血糖水平升高为特征的慢性代谢性疾病，是最常见的慢性疾病之一。糖尿病的发病率和患病率多年来一直在增加。DM 的并发症代表了一个严重的健康问题。长期并发症包括男性和女性的大血管病、微血管病和神经病以及性功能障碍 (SD)。勃起功能障碍 (ED) 被认为是 DM 男性最重要的 SD。患有 DM 的男性的 ED 患病率大约是没有 DM 的男性的 3.5 倍。糖尿病及其并发症的常见风险因素包括久坐不动的生活方式、超重/肥胖和热量消耗增加。虽然生活方式的改变可能有助于改善性功能，但通常需要特定的治疗方法。