54 Yr Old Diabetic with ED at the Final Frontier

[Merknaut]

Hello All,
I am 54 and have been dealing with ED for at least 20 years. I was diagnosed with Type 1 diabetes at 28 years.
The first 10 years living with diabetes I was in denial and did not control my blood sugars very well. It wasn't until I started having peripheral problems that I started to actually care, and the main one being ED.
I've had my share of other health problems that kicked off with a hospitalization that almost killed me 13 years ago. Unfortunately I've bounced back and forth between being very good about caring for my health to being totally apathetic and despondent.
I was treating my ED with oral medication, but that became less and less effective over time.
Four years ago I really started my present decline with contributing factors compounding as well as going through a separation and divorce. It was around this time that I started having another concern, namely retrograde ejaculation. So even with oral medication I could not achieve a full erection and it didn't last long, and on top of that most of the time there is no fluid ejaculate.

I met a terrific woman 15 months ago and she has been amazing. Supportive, understanding, encouraging, and loving. Not long before meeting her I had resolved to take better care of my diabetes and I got on an insulin pump, and started daily tadalafil.
I finally went to a urologist to find out everything going on with my penis. I had a full examination as well as an ultrasound.
I have Peyronie's disease with some scarring and plaque, but it hasn't created significant curvature in my penis. My testicles are healthy and it turns out my testosterone was around 1000.
I experimented with combining oral medications with little to no results. It was time to try injections. I started Trimix last summer and I continually increased dosage to get to a full, solid erection. Turns out I can't, and I also have signs of venous leakage.
I am still administering Trimix 2 to 3 times a week because I like to have sex with my partner, but it has become obvious to us that if we want something that resembles a normal sex life I am going to have to take the next step.

I am preparing for penile implant surgery. My blood sugars are under much better control, my latest A1c was 7.2. I am working out on a regular basis and eating a healthy diet. I have switched over to a constant glucose monitor that I wear 24/7 along with my insulin pump, and I have made the lifestyle changes that will lead to better health and fitness.

[brianroa7]

Any update on your situation? I hope the implant is a life changer for you!

[Merknaut]

So I am in the process of working with Boston Scientific to request an exception to a contract exclusion by my employer in my health insurance policy. So I have done all I can so far to arrange for the surgery. I plan on having the procedure done by Dr. William Brant. Still a lot of variables to be resolved but I am hopeful.