The benefits of exercise and healthy eating constantly reinforce each other.

First of all, good blood flow to the penis is essential for erections. High levels of cholesterol and fat in your bloodstream leave deposits in the walls of your blood vessels. This leads to atherosclerosis and contributes to high blood pressure, both of which can damage blood vessels and reduce blood flow. Exercise helps lower cholesterol and blood pressure. A diet low in fat and cholesterol also helps to prevent and reverse the buildup of fatty deposits in blood vessels.

Second, a high blood sugar level damages nerves as well as the blood vessels that are involved in getting an erection. A good diet and the right amount of exercise help keep your blood sugar level under control. Studies show that people who exercise are less likely to get diabetes, and people with diabetes who exercise have better control of their blood sugar levels. Exercise helps you use sugar more easily. That leaves less sugar in the blood.

Eating a diet low in calories — and burning calories through exercise helps you tone your body and lose weight. Studies have linked erectile dysfunction and being overweight. Many other studies have shown that exercise fights depression, which also has a major impact on sexual function. With a leaner, toned body and a better sense of well-being and self-esteem, you’re more likely to feel sexy and have normal erections.

But there’s a lot of confusing information out there. Maybe you’re wondering exactly what you should eat and what kind of exercise to choose.

Designing a Sexy Plate

For someone with diabetes, it’s important to have a meal plan approved by your doctor and a registered dietitian who is trained in diabetes nutrition.

In general, though, there are simple ways to make sure you’re eating the right things at each meal.

One good guideline to use is the food pyramid. It tells you how much of various foods should be in your diet. The things you should eat most are at the bottom and those that should be the least part of your diet are at the top. According to the food pyramid, every day you should eat:

* 2 cups of a variety of fruit
* 2.5 cups of richly colored vegetables
* 3 ounces of whole grains like whole-wheat bread, oatmeal, or brown rice
* Up to 3 ounces of refined grains like pasta, white rice, or white bread
* 3 servings of dairy foods (A serving = 1 cup of low-fat milk or yogurt, 1.5 ounces of cheese)
* 5 ounces of meat, fish, eggs, or legumes for protein
* 5 teaspoons of oils (including the oil found in nuts and fish)
* 130 to 295 discretionary calories such as sweets (about 1 cookie or cup of ice cream)

(*Note: These amounts are recommended for the average adult woman. Men can consume about one ounce more in each category.)

The diabetes “exchange” system is another way of figuring out how much of what foods to eat. An exchange list shows what portion size of a given food gives you the same amount of calories and nutrients. For example, one medium-sized peach is equivalent to 12 large cherries.

The American Diabetes Association’s “Rate Your Plate” guide is a different way to look at what you’re eating. Following this guide, you divide your plate into imaginary quarters. One-quarter should contain starches, like potatoes or rice. One-quarter should contain meat. One half should contain vegetables.

Work Out Your Workout

When it comes to exercise, you don’t have to follow any “fad” workouts. Just find a way to get your body moving and your heart rate up. Here is the recommendation of the CDC:

* 30 minutes of moderate exercise five days a week; or
* 20 minutes of vigorous exercise three days a week.

But what do “moderate” and “vigorous” actually mean? You can tell how intense the activity you’re doing is by measuring your heart rate while you’re doing it.

First, figure out what your maximum heart rate is. That’s the number 220 minus your age. If you’re 40, your max heart rate is 180.

To measure your heart rate while exercising, pause briefly to take your pulse. Place your middle and index fingers on the artery of your neck or wrist where you can feel your pulse. Using a watch with a second hand, count the number of pulses, or beats, in 60 seconds. That’s your heart rate. (If you’d rather take less time to do it, you can count the number of beats in 30 seconds and multiply by two.)

When you’re doing moderate exercise, your heart rate will be 50% to 70% of your maximum heart rate — which is based on a person’s age. If your max heart rate is 180, your goal for moderate exercise is to get your heart rate up to 90 to 126 beats per minute (bpm).

Here’s that equation:

220 – age = max heart rate

180 x .50 (50%) = 90 bpm
180 x .70 (70%) = 126 bpm

For vigorous exercise, figure it the same way, but instead of 50% to 70% of your max heart rate, the range is 70% to 85%.

180 x .70 (70%) = 126 bpm
180 x .85 (85%) = 153 bpm

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If you want to prevent erection problems or keep them from getting worse, you must control your blood sugar and get your numbers as close to normal as possible. That means diligent self-monitoring, taking any diabetes medications your doctor has prescribed, and being committed to healthy living.

The best approach is to follow a healthy diet, get regular exercise, and maintain a normal weight. Some people with diabetes are able to gain control of their blood sugar levels with lifestyle changes alone. Some may need to take medication to keep their numbers as close to normal as possible. But it’s important to keep in mind that diabetes medications work best when you make the effort to eat right and be physically active.

The Key to Success: Testing Blood Sugar Levels

If you have diabetes and take insulin you should test your blood sugar levels three or more times daily. Home blood glucose monitoring can be done fasting, before or two hours after meals, and at bedtime. Exactly how often you should test your blood sugar and at what times depends on your specific needs and what your doctor tells you to do.

When you’re trying to get your levels down to your goal, or if you are changing therapies, it’s a good idea to test more often. By testing before and after meals, in the morning, and before bed you can create a detailed picture of how your blood sugar fluctuates throughout the day. That will help your doctor tailor your treatment for the best control.

Everyone with diabetes should know his A1C score. The A1C test measures your average blood sugar levels over three months. If you haven’t been doing regular finger-sticks, this test will tell you how well you’ve been controlling your blood sugar levels.

The A1C test score is given as a percentage, ranging from 6% to 12%.

A score below 6% is normal for people without diabetes. You should aim for an A1C score of less than 7%. If you have a score any higher than that you are at higher risk for problems like erectile dysfunction. It’s best to have your level checked at least twice a year.

Even a 1% drop in your A1C score has a big impact. One of the largest studies so far on type 2 diabetes shows that people who lower their A1C score by 1% have a 35% lower risk for the kinds of complications that cause ED. One study directly linked high A1C scores to erectile dysfunction and low A1C scores to better sexual function.

If at all possible, you should aim to get your A1C score down into the range of 6% or less, where people without diabetes are. Research has shown that there’s no floor, so to speak, when it comes to the benefit of lowering A1C.

If your blood sugar levels have been out of control, you should have the test more frequently.

Another important factor is how you take your diabetes medication. Follow directions carefully and don’t skip doses. Skipping doses often results in worse blood sugar control and added complications from the diabetes. And don’t forget guys, if you want to be a tiger in the bed, check your blood sugars so you don’t end up down and out.

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