Diabetes is considered a global health crisis with over a million people are suffering from it worldwide, and the complications it causes affect men in unique ways. According to the American Diabetes Association, 13.8 percent to 17 percent of male Americans have diabetes. While cardiovascular diseases and kidney issues are common, several other risks that men with diabetes face are relatively understated, such as erectile dysfunction, low testosterone levels, and an increased risk to the cardiovascular system.

Diabetes is a chronic condition that interferes with the body's ability to regulate blood sugar levels. Although it affects both men and women, men are more vulnerable to complications due to physiological and behavioral factors. According to studies published in the Journal of Epidemiology & Community Health, men with diabetes have a higher risk of cardiovascular disease, kidney complications, and vision problems than women, regardless of the duration of the condition.

This is one major risk factor, fat storage around the midsection, which puts the man at higher risks of developing type 2 diabetes. Combined with a delay in consulting a doctor, this situation usually leads to undiagnosed or poorly managed diabetes and worsens the risks.

Lesser Known Risks of Diabetes in Men

1. Erectile Dysfunction (ED)

Erectile dysfunction, or the inability to achieve or maintain an erection, is one of the most common yet overlooked complications of diabetes in men. Diabetes impairs blood flow and damages nerves, both essential for healthy sexual function.

High blood sugar levels damage blood vessels and nerves, reducing blood flow to the genital area.

Hypertension, obesity, and kidney disease are associated with diabetes, which makes a patient's risk even greater.

A 2017 meta-analysis of 145 studies found that over 50% of men with diabetes experience ED, whether it is type 1 or type 2 diabetes. While stress and lifestyle factors such as smoking can play a role, diabetes really amplifies the condition.

Early intervention is key. It can be managed with regular check-ups, optimal blood sugar levels, and lifestyle changes such as quitting smoking and exercising.

2. Low Testosterone Levels

Low testosterone levels are common in diabetic men. This can have a serious impact on the general well-being of men. Testosterone is an essential hormone that maintains muscle mass, regulates mood, increases energy, and ensures sexual health.

Diabetes alters the production of hormones and, subsequently, the production of testosterone reduces. Obesity is associated with diabetes; thus, a man with obesity is also more likely to have reduced testosterone.

Low Testosterone Symptoms in Men with Diabetes:

• Reduces muscle mass
• Causing fatigue and mood changes
• Loss of libido and erectile dysfunction

Low testosterone can also cause low sperm count, which makes it hard to conceive. It also increases the risk of Peyronie's disease, which is painful penile curvature that complicates sexual intercourse.

Medical consultation is essential for diagnosis and management. Hormone replacement therapy, combined with lifestyle modifications, can restore hormonal balance and alleviate symptoms.

Also Read: Explained: 5 Types Of 'New' Diabetes- Diagnosis And Treatment

3. Increased Cardiovascular Risks

Cardiovascular diseases are one of the most dangerous complications for men with diabetes. High blood sugar levels damage blood vessels and increase the risk of heart attacks, strokes, and other cardiovascular problems.

Men tend to store visceral fat around the abdomen, which contributes to insulin resistance and inflammation, escalating cardiovascular risks. Men often ignore early warning signs, leading to prolonged periods of unmanaged diabetes.

Uncontrolled diabetes increases cholesterol levels and blood pressure, compounding the risk of life-threatening events like strokes and heart attacks.

Routine health screenings, blood sugar monitoring, and a heart-healthy diet are critical preventive measures. Men over 45 who are overweight should prioritize regular cardiovascular check-ups to mitigate these risks.

Early detection and proactive care may limit the progression of complications. How male with diabetes can prevent himself from complications is as follows:

Regular Evaluations

Also known as regular blood sugar, testosterone levels, and cardiac health checks.

Lifestyle Changes

Quit smoking, encourage exercise, and eat well-balanced diets.

Medical Care

Consult a medical care provider for individualized, detailed treatment plans

Prevention of Diabetes Symptoms in Men

Prevention of diabetes is initiated with awareness of its risk factors and conscious lifestyle choices. Although the type 1 diabetes is diagnosed typically in childhood, in most people, type 2 diabetes can be avoided. Prevention strategies include the following:

- Obesity is one of the major risk factors for type 2 diabetes.

- An exercise habit can enhance sensitivity to insulin and keep an overall healthy lifestyle.

- Focus on whole grains, lean proteins, and fresh produce, avoiding processed foods and added sugars.

Diabetes is a complex condition, but understanding its unique risks for men can pave the way for better management and prevention. From erectile dysfunction and low testosterone to heightened cardiovascular risks, addressing these issues requires a multi-faceted approach.

Sex differences in risk of incident microvascular and macrovascular complications. Journal of Epidemiology and Community Health. 2024

Do men develop type 2 diabetes at lower body mass indices than women? Diabetologia. 2011

Sex differences in obesity and the regulation of energy homeostasis. Obesity Reviews. 2009

Smoking has been long recognized as one of the worst habits a person can have, and Dr Jeremy London agrees with this statement. Dr. London, a cardiovascular surgeon, in a recent interview with Mel Robbins revealed that his number one advice as a heart doctor is to avoid smoking.

“I cannot come up with one single thing that does as much damage to every organ in the body as smoking cigarettes. And look, it's incredibly addictive and I know that and I pass no judgment because I know how difficult it is.”

He explained that in his practice he has dealt with chronic smokers for years and still believed that it is the single most dangerous thing one can do to themselves.

Also Read: Why Is It Harder For Women To Quit Smoking?

How Does Smoking Affect Other Organs?

Emphasizing how this one habit affects all organs in our body, Dr London mentioned the well-known link between lung cancer and smoking.

However, there are many more chronic diseases associated with the rest of the body that can develop due to smoking apart from lung conditions, according to the American Lung Association.

Here is what you should keep an eye out for:

Heart Disease

Also Read: 3 Science-Backed Methods To Quit Smoking For Good

Asthma

Reproductive Health

Vision Loss

Lung Cancer

Smoking is the leading cause of lung cancer, accounting for nearly 90 percent of all cases. Although medical treatments have improved, the five-year survival rate remains low. Quitting is the most effective way to lower your risk of this deadly disease.

Chronic Obstructive Pulmonary Disease

Other Cancers

Fasting for three hours before bed can significantly improve heart health and reduce the risk of coronary artery disease (CAD) as well as other chronic conditions, an Arteriosclerosis, Thrombosis, and Vascular Biology study suggests.

While many believe that diet plans such as intermittent fasting or time-restricted eating can help reduce their weight, researchers at Northwestern University have found that not eating three hours before going to sleep can reduce overnight blood pressure by nearly four percent, heart rate by five percent and strengthen overall heart rhythms.

This can help reduce overall strain on the heart which lowers risks for conditions like hypertension and CAD. Additionally, the scientists also discovered a drop in blood sugar levels, improved glucose tolerance and insulin sensitivity.

Participants who underwent glucose tests also showed better insulin release which tend to stabilize during the day. Additionally, an improved heart rate also lowered nighttime cortisol, which helped in metabolic balance.

Dr. Phyllis Zee, director of the Center for Circadian and Sleep Medicine and chief of sleep medicine in the department of neurology at Feinberg and corresponding author said of the results: "It's not only how much and what you eat, but also when you eat relative to sleep that is important for the physiological benefits of time-restricted eating."

The study authors also noted: "Extending overnight fasting duration by three hours in alignment with sleep improved cardiometabolic health in middle-aged/older adults by strengthening coordination between circadian- and sleep-regulated autonomic and metabolic activity.

"This sleep-aligned time-restricted eating approach represents a novel, accessible lifestyle intervention with promising potential for improving cardiometabolic function."

Coronary Artery Disease: The Silent Killer

Despite being as a common heart disease, coronary artery disease (CAD) develops over years and has no clear signs and symptoms apart from a heart attack. The illness begins due to a buildup of fats, cholesterol and other substances known as plaque in and on the artery walls.

Over time, this can cause narrowing or blockage of the coronary arteries and block the supply of oxygen-rich blood to heart which can lead chest pain (angina), shortness of breath and ultimately, heart attacks.

Typically, those above the age of 45, having a biological family member with heart disease, lack of sleep, smoking, consuming saturated fats along with other autoimmune diseases such as lupus and rheumatoid arthritis can increase the risk of developing CAD.

Treatment options may include medicines and surgery. Eating a nutritious diet, getting regular exercise and not smoking can help also prevent CAD and the conditions that can cause it.

Nearly one in 10 Indian adults suffer from CAD and about two million people die from the disease annually. Apart from this, about 18 to 20 million American adults aged 20 and older are also affected about the disease.

Strokes: A Rising Crisis In India

One in seven stroke patients in India are young adults aged below 45 years, with hypertension leading as the major risk factor, according to a study by the Indian Council of Medical Research (ICMR).

The Global Burden of Disease Study 2021 identified hypertension, air pollution, tobacco smoking, high cholesterol, increased salt intake, and diabetes as the leading risk factors of stroke.

Incidence of stroke is increasing significantly in low- and middle-income countries (LMICs), especially in India, due to population growth, aging, and greater exposure to risk factors.

Quitting smoking is one of the most important steps a person can take to improve their health. But research suggests that women face unique challenges that make it harder to stop smoking and remain nicotine-free as compared with men.

According to the Centers for Disease Control and Prevention, about 10 percent of women in the US currently smoke cigarettes. Each year, while many attempt to quit, maintaining long term abstinence remains difficult for a large number of smokers.

Scientists say these differences are not about motivation and women are usually just as willing to quit smoking as men. In many cases they are even more likely to seek help through smoking cessation programs, counseling or medical treatment.

However, the challenge lies in a combination of biological, psychological and social factors that can make nicotine addiction behave differently in women.

Nicotine Works Differently in Women’s Bodies

One of the biggest reasons for the difference is biological as women process nicotine differently than men.

Research shows that women tend to metabolize nicotine faster. This means nicotine leaves the body more quickly, which can lead to stronger withdrawal symptoms and more frequent cravings. Jean Perriot, MD, an addiction specialist at the Émile Roux Dispensary in France, says this biological difference can affect treatment.

Even though doctors sometimes worry about giving women too much nicotine replacement therapy, such as patches or gum, biological measurements often show that many women actually receive too little nicotine replacement, which can make treatment less effective.

Hormones also play a role in smoking behavior. Studies suggest that cravings may increase when estrogen levels are high and decrease when progesterone levels rise. These hormonal shifts occur naturally during the menstrual cycle and may influence when quitting attempts are most successful.

Stress And Emotions Can Trigger Smoking

Dr Nancy Rigotti, director of the Tobacco Research and Treatment Center at Massachusetts General Hospital who specializes in smoking cessation for many years notes that emotional triggers such as stress or depression can strongly influence smoking behavior among women.

Social and economic pressures may also increase vulnerability to tobacco use. Historically, the tobacco industry has targeted women with marketing campaigns that connect smoking with weight control, independence or attractiveness. Public health experts say these messages can shape attitudes about smoking and reinforce addictive behaviors.

Smoking Habits And Weight Concerns

Behavioral research suggests these cues may have a stronger influence for some women, which can make quitting harder even when nicotine dependence is treated.

Furthermore, nicotine can suppress appetite, leading may to pick up smoking to manage body weight. Studies show that women are more likely than men to experience increased cravings for high sugar or high fat foods after quitting smoking. They also tend to gain slightly more weight on average which can make some women hesitant to quit or more likely to relapse.

Treatments Work Differently for Women

Research suggests nicotine replacement therapy may need to be carefully adjusted because of faster nicotine metabolism in women. Some medications used to help people quit smoking may also have different effects.

For example, studies suggest the medication varenicline may cause more side effects in women, while the drug bupropion may be somewhat less effective for female smokers.

On the other hand, behavioral treatments appear to work well for many women. Cognitive behavioral therapy, which helps people understand and change unhealthy habits, may be slightly more effective for women than men. Women are also more likely to try complementary approaches such as meditation, yoga or hypnosis when attempting to quit smoking.

Toward More Personalized Quit Strategies

Exposure to secondhand smoke is another concern. Studies show women are often more likely to be exposed to tobacco smoke at home or in shared environments. Some research also suggests women may face higher risks of certain tobacco related diseases even at lower levels of smoking.

Understanding these differences can help doctors design better quitting strategies. Scientists say the goal is not simply to encourage people to quit smoking, but to provide the right tools so that quitting becomes more achievable for everyone.