Autonomic neuropathy is quite capable of dis-masting a person long before diagnosis. I understand that it is that symptom that sends some people off to see their GP which is where they discover they have diabetes. Some pills have erectile dysfunction as part of the possible adverse side effects ......as though you needed that as well.
My nurse broached the subject because she thought I was too embarrassed to. She doesn't know me as well as I thought. She offered me some viagra which was kind of her since she had stopped issuing me with test strips. This shows she has her priorities in the right place. I declined her kind offer since I am in my 70's and wouldn't know where to put them.