Q: I am 50 years old and have undergone a kidney transplant last year. Although, progress is steady I have developed diabetes. The sugar levels at times drops to 66, especially after morning walks and at times it rises to 200 plus. I am injecting insulin Humolog 75/25 twice a day - morning 20 units and evening 16 units. So far there was not much of a problem. From the last 6 to 7 days I am having erectile dysfunction. Although, erection is not complete, I can reach an orgasm. Erection is also not sustained. This problem did not exist earlier. Your advice will be appreciated.

A:Erectile dysfunction is common in patients with chronic kidney disease and usually improves with successful kidney transplantation. Your diabetes needs a constant and regular control. There are medicines available which will improve your erectile dysfunction. These should be taken only on prescription by your nephrologist. You should discuss this with your nephrologist, I am sure it can be helped.