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According to the statistics, diabetes is one of the most common causes of impotence in men. Diabetes leads to nerve damage throughout the body and affects peripheral blood flow. Men with this serious condition are 3 times more likely to have erectile problems than those who do not have diabetes.
Diabetes causes irreversible damage to nerves known as neuropathy. This means that all the nerves in the body including those in the penis are damaged. This is one of the main reasons why diabetes leads to impotence in men. Inadequate singnaling between nerves and the brain and organs affects a man’s ability to achieve and sustain an erection.

Diabetes among other things is dangerous because it causes or exacerbates atherosclerosis. Narrowing or hardening of these blood vessels in atherosclerosis does not allow enough blood to flow into the penis and erectile problems occur.

Uncontrolled diabetes is uncontrolled blood sugar level. High blood sugar prevents the body from releasing enough nitric oxide necessary for erectile process and and vascular tissues don’t respond to nitric oxide release.
In conclusion approximately 12% of men with diabetes have low levels of testosterone, which impairs normal erectile function.
Diabetes should be controlled, blood sugar level should be regularly monitored and if necessary corrected by diet, medications and exercise.
The severity of this condition depends on the lifestyle of a patient and his attititude to the disease. Healthy living and managing of diabetes will help to avoid serious health consequences including impotence.

Men with ED like to solve their problems in bed easily and quickly. Sometimes it is very hard thing to do due to the conditions a man may have or extremely unhealthy lifestyle contributing to problems with erections.
The way to improve the situation with erections is not fast and requires time and strength to return strong erections especially in men older 45 years of age.
The inablity to get an erection can be caused by a variety of factors including medical health conditions, unhealthy lifestyle, overweight and medications. Consulting your doctor is the first step on your way of fighting ED.

Oral ED medications such as Sildenafil, Tadalafil, or Vardenafil are approved to help men achieve erections still you can try the other methods of improving your erections and make it naturally.
Running or walking every day for 20-30 minutes will provide benefits for blood circulation and enhances the general sexual health. The lack of physical activity, sedative way of life and overeating leading to obesity enlarge the chances of a man for erectile dysfunction. More exercises done regularly, control of weight and healthy eating habits will improve the situation with general health and with erections as well.

Eat healthy diet: include more fruits, whole grains and nuts into your everyday ration. Such products as watermelon, pomegranate and nuts improve blood circulation and have beneficial effect on health.

Stop smoking and drinking large amounts of alcohol. Smoking and drinking can greatly affect erectile function directly or implicitly by other conditions they provoke. Remember that heavy smokers and those who drink frequently have greater risks of different health conditions including heart disease, atherosclerosis, nerve damage and erectile dysfunction.
Trying doing these simple changes and you will see how your sexual life improves.

Kamagra should be used with caution in some groups of patients with ED.
These groups include patients with hypersensitivity to the drug, males under 18 years of age, older patients (over 65 years of age), those who have serious health conditions such as kidney or liver problems.
The clinical trials of Sildenafil proved that the medication is the same way effective in geriatric patients like in younger men. Still in older patients the reduced clearance of the drug and increases in plasma concentration may increase the risk of side effects development. So onlder patients should be prescribed the lowest effective dose of Kamagra.
The dose selection to patients with hepatic or kidney impairment or cardiac disease should be careful. Patients with severe forms of heart disease or kidney or liver impairment should not be treated with Kamagra.

Kamagra serioius cardiovascular effects are very rare; still certain groups of patients should be careful while using this medication. Patients with a recent myocardial infarction, stroke, and life-threatening arrhythmia should consult their doctor about the possibility of Kamagra use. Patients with hypotension or hypertension and patients with unstable angina (chest pain) and cardiac failure or coronary artery disease should also visit a doctor before using Kamagra. The cardiovascular and cerebrovascular status of such patients should be estimated before the treatment with Sildenafil is started.
If Kamagra is administered with ?-adrenergic blocking agents symptomatic hypotension may occur. Hypotension may be fatal in patients receiving nitrates or nitrites with Sildenafil.
Patients with severe cardiovascular disease including severe left ventricular outflow obstruction, autonomic dysfunction, fluid depletion could be negatively affected by Sildenafil especially with sexual activity. For patients who are not recommended to take part in sexual activity it is not allowed to take any oral ED medications including Kamagra to avoid dangerous and even fatal side effects.

Contraindications for Kamagra usage:
• Clear hypersensitivity to Sildenafil or any other components of Kamagra;
• Simultaneous use of nitrates with sildenafil;
• If sexual activity is not recommended for a patient.
Special notification is made to the patients having ocular problems. Sildenafil may cause visual abnormalities such as blue/green vision, changes in light sensitivity, retinal changes in geriatric patients.
A serious condition called Nonarteritic anterior ischemic optic neuropathy (NAION) was reported infrequently in patients with certain eye diseases after sildenafil administration. Patients with retinitis pigmentosa should be specially monitored to prevent the development of this condition especially in patients who have already had NAION in one eye.