#1779 Diabetes Variable: Finishing (for men)
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In this episode Jenny and Scott chat about the end of the act.
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DISCLAIMER: This text is the output of AI based transcribing from an audio recording. Although the transcription is largely accurate, in some cases it is incomplete or inaccurate due to inaudible passages or transcription errors and should not be treated as an authoritative record. Nothing that you read here constitutes advice medical or otherwise. Always consult with a healthcare professional before making changes to a healthcare plan.
Scott Benner (0:00) Hello, friends, and welcome back to another episode of the Juice Box podcast. (0:14) Managing diabetes is difficult, but trying to do it when you don't understand the lingo, that's almost impossible. (0:21) The defining diabetes series began in 2019, and today we're adding to it. (0:26) Go to juiceboxpodcast.com up in the menu, click on defining diabetes, and you'll see a complete list of all the terms that we've defined so far. (0:36) Hey.
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Scott Benner (1:34) Always consult a physician before making any changes to your health care plan. (1:39) Alright, guys. (1:40) I'm gonna do a diabetes variable with Jenny that I did not explain to her what it was beforehand. (1:44) This was sent in by listeners, but I think it's gonna make her giggle or laugh. (1:48) So everybody get ready.
Scott Benner (1:50) Jenny, people wanna talk about finishing for men with type one diabetes.
Jenny Smith (1:57) You know me so well. (2:00) I
Scott Benner (2:01) knew I knew what this was gonna do to you.
Jenny Smith (2:02) Okay. (2:04) I think this is funny. (2:05) I think we only ever had one conversation similar to this, and it was in was it in a I think it was in a very
Scott Benner (2:12) little a very well, we did masturbating. (2:14) Yeah.
Jenny Smith (2:14) We did. (2:15) Yes. (2:15) Exactly. (2:15) Yeah. (2:16) So that's kinda funny.
Jenny Smith (2:18) Yeah. (2:18) But what is well, is this a very could be a variable just like it could for a female? (2:22) I mean
Scott Benner (2:23) Well, it's possible that they just didn't know where this fit exactly, and maybe they figured it fit because of the masturbation episode of the I variable don't know. (2:33) So I guess the variable really is control. (2:37) I mean, insulin use. (2:39) Right? (2:39) And your and your management and your outcomes.
Scott Benner (2:42) Or am I wrong? (2:43) Like, why do guys with type one why can they have trouble I'm just gonna keep going with finishing. (2:49) Finishing. (2:49) Finishing? (2:50) Yeah.
Jenny Smith (2:50) Sure. (2:51) As a baseline, I think it also goes along with erectile dysfunction.
Scott Benner (2:57) Okay.
Jenny Smith (2:57) Right? (2:58) If I'm thinking of, quote, unquote, finishing in the right way.
Scott Benner (3:04) Do you need me to define it for you, Jenny?
Jenny Smith (3:06) No. (3:07) You don't. (3:08) Thank you so much. (3:10) You might be like, oh my god.
Scott Benner (3:11) This is all very interesting. (3:12) I won't say a word. (3:13) It's the part It's
Jenny Smith (3:14) all good.
Scott Benner (3:14) It's the part where you go, okay. (3:16) Okay. (3:17) You we're we're talking about the same thing.
Jenny Smith (3:18) Totally get it. (3:20) But I think it might have some of the same, which is why I connected to potentially erectile dysfunction.
Scott Benner (3:26) Okay.
Jenny Smith (3:26) Because if there is, as you said, management issues in general, not just in that time, but in general, there could be a reason that finishing doesn't actually happen
Scott Benner (3:42) Okay.
Jenny Smith (3:43) In the timeline. (3:43) Right? (3:44) There could be nerve damage. (3:45) There could be vessel damage that doesn't create a problem with actual, like, erection, but it could actually create a problem with release.
Scott Benner (3:54) Okay.
Jenny Smith (3:54) Now that being the big consideration
Scott Benner (3:57) Mhmm.
Jenny Smith (3:58) In the moment, absolutely. (4:00) I mean, it could be that blood sugar is dropping, and body's responses are for preservation of overall health, not preservation of, like, gosh. (4:10) You gotta get the job done. (4:11) Let's just finish. (4:12) Right?
Scott Benner (4:13) She looks bored. (4:14) Yeah. (4:14) Yeah.
Jenny Smith (4:15) So, I mean, it it certainly could be relative to whether blood sugar in the moment
Scott Benner (4:20) Okay.
Jenny Smith (4:21) Is dropping. (4:22) I can't imagine that it would be relative to a rapid rise. (4:26) Although, maybe, you know, in terms of a rise could probably be similar to an adrenaline spike
Scott Benner (4:35) Okay.
Jenny Smith (4:36) In terms of that finishing.
Scott Benner (4:38) It's interesting to hear you talk through it without having any any forewar knowledge that we were gonna talk about it, because I think you're doing a good job.
Jenny Smith (4:46) Oh, great.
Scott Benner (4:47) I, of course, I cheated. (4:49) And so, I have it broken out as blood flow. (4:52) There are tiny arteries that bring blood into the penis that can narrow or stiffen called microvascular damage. (4:58) So less blood in would be a weaker or shorter or lasting erection or harder to complete. (5:04) Diabetes can cause neuropathy, so nerve signals, which dull sensations or messes with the nerve pathways that trigger orgasm or ejaculation.
Jenny Smith (5:12) Which, again, both of those are, like, more long term
Scott Benner (5:15) Yeah.
Jenny Smith (5:16) Repercussions of an issue.
Scott Benner (5:18) I don't think you'd be diagnosed today, and next week, this would be your issues. (5:21) Right?
Jenny Smith (5:21) Right.
Scott Benner (5:21) There's some some quotes here that men can, in this situation, can say that they can get there. (5:26) This is a quote, but it can take
Jenny Smith (5:28) forever. (5:29) Yes.
Scott Benner (5:29) And then autonomic nerves, these are nerves that handle automatic body functions like ejaculation. (5:36) If they're affected, you could end up with delayed ejaculation or retrograde ejaculation when semen goes backwards into the bladder. (5:42) Mhmm. (5:42) There's a thing I didn't didn't need to know today.
Jenny Smith (5:45) You didn't I yeah. (5:46) And that actually is something I've I mean, it all goes along with when you're discussing with somebody what's going on.
Scott Benner (5:52) Uh-huh.
Jenny Smith (5:52) All of these things kind of get
Scott Benner (5:54) because it goes back is this where the phrase coming and going comes from? (5:58) They catch me coming and going? (5:59) No. (5:59) I don't think so.
Jenny Smith (6:00) Oh, I don't think so. (6:01) That's funny that you would put that together. (6:03) So quick. (6:03) I
Scott Benner (6:04) don't know. (6:04) It's it's just word play, Johnny. (6:05) So they'd also says mentally that you brought this up. (6:08) That's why thought it was interesting. (6:09) Anxiety about performance or having a low blood sugar during sex can, like, change your arousal and maybe then Yes.
Scott Benner (6:15) Have trouble before you get into there. (6:18) Mhmm. (6:18) Feeling frustrated with diabetes or body image issues can feed that loop.
Jenny Smith (6:22) Which those wouldn't really be diabetes specific. (6:25) No.
Scott Benner (6:26) No. (6:26) But they're you know, I mean, how about this one? (6:28) Low testosterone, which is common with men with more common with men with diabetes can Mhmm. (6:33) Impact your libido and your intensity. (6:36) Okay.
Scott Benner (6:37) Medications too. (6:39) Just some add ons here. (6:40) If you're on SSRI, that could
Jenny Smith (6:42) Mhmm.
Scott Benner (6:43) Do it. (6:43) And high or low blood sugar during sex could totally kill arousal stamina. (6:47) I hear women I've a lot of these conversations with people. (6:51) Men and women all talk about, like, the having to have snacks at the bedside and how kind of I mean, it kinda take you out of the moment kind of thing. (7:01) You know what Or I having to stop to take off your device or having your device knocked around or hit or, you know Right.
Scott Benner (7:08) During whatever it is you're doing over there. (7:10) Is that it? (7:10) Did we cover all the reasons why you might not be able to finish as a male with type one diabetes?
Jenny Smith (7:14) I do believe so. (7:16) Yes.
Scott Benner (7:16) Would any of this impact a woman?
Jenny Smith (7:19) Yes. (7:20) I mean, many of the things that you brought up are more internal with a woman. (7:25) Right? (7:25) So things like damage to nerves from a sensation standpoint, both internal and external for a woman, And then, you know, hormonal changes that could be impacted by blood sugar. (7:38) Again, the broader picture, just like erectile dysfunction, the broader picture for a woman.
Jenny Smith (7:44) Hormonal fluctuations up and down could certainly create a problem with, I guess, finishing it for a woman too. (7:52) It's this pretty much the same concept.
Scott Benner (7:54) Yeah. (7:55) Here it is. (7:55) Less blood reaching the clitoris and vaginal tissues, reduced sensitivity or difficulty reaching orgasm. (8:01) Nerve changes can delay or weaken sensation. (8:04) Also, general dryness or less natural lubrication since nerve signals and blood flow both play a part in arousal.
Scott Benner (8:12) Women with type one often have hormonal fluctuations that interact with blood sugars.
Jenny Smith (8:16) Mhmm.
Scott Benner (8:17) Estrogen, progesterone shifts can alter insulin sensitivity. (8:22) Oh, that's an interesting thing. (8:23) And then low estrogen, especially in perimenopausal menopausal women, can lead to dryness, pain, or lower libido. (8:29) Thyroid issues which can be more common with people with diabetes, can add fatigue or low desire. (8:35) And then it says high blood sugars can fuel yeast infections, UTIs, or general irritation that can make sex uncomfortable or painful.
Jenny Smith (8:42) So, again, all around similar. (8:45) And as far as, like, the actual moment, what your blood sugar is doing, again, more on the drop or the low zone, not so much a climb or a rise being problematic in that moment, but it's much more, you know, gosh. (8:58) If you guys have been having fun for a bit of time Mhmm. (9:02) You could absolutely have a drop enough in blood sugar that at the very end, it makes it very difficult.
Scott Benner (9:09) What makes your blood sugar drop drop faster? (9:11) Jumping on a trampoline or having sex?
Jenny Smith (9:13) I would expect jumping on the trampoline.
Scott Benner (9:15) That damn trampoline is amazing, isn't it?
Jenny Smith (9:17) So don't have sex on the trampoline.
Scott Benner (9:19) Well, yeah, you made a point there. (9:21) Didn't I didn't think about that. (9:24) Be cold, wouldn't it?
Jenny Smith (9:26) Well, it depends on what time of the year and where
Scott Benner (9:28) you live. (9:29) Oh, you know, then it would be hot. (9:30) Yeah. (9:30) You're making a good point.
Jenny Smith (9:31) There you go.
Scott Benner (9:32) I just wanna point out here, it says birth control or hormonal therapy can alter glucose patterns, making things feel a little off cycle or inconsistent. (9:39) And I will bring up, if you don't believe your birth control can have impacts like that, there's been this, I I think it's a study, but it's at very least colloquially understood that there are women who are on birth control while they're courting and then later go off it and find they're not attracted to the men that they married because am I right about this? (9:58) Got it.
Jenny Smith (9:58) That's actually been out for probably at least two years. (10:02) I Yeah. (10:02) I read that quite a while ago as well.
Scott Benner (10:04) Yeah. (10:05) So when you're on I guess the idea is the pill makes your body feel like you're pregnant, which makes you wanna nest, which makes you look for a certain kind of guy. (10:14) And then once that guy is living in your house all day long, you're like, oh, that is not the kind of guy I would have picked if I didn't think I was having a baby with him. (10:21) Ain't that interesting? (10:22) Mhmm.
Scott Benner (10:23) Yeah. (10:24) You're all individuals, you're doing whatever you want. (10:26) Or, you know, we're all being controlled by, like, little chemicals in our body, and we don't have any actual thoughts of our own. (10:33) You decide the difference. (10:34) Jenny and I have to go.
Scott Benner (10:35) It's Friday.
Jenny Smith (10:36) Awesome. (10:36) See you. (10:37) Thanks.
Scott Benner (10:44) Okay. (10:45) Well, here we are at the end of the episode. (10:46) You're still with me? (10:47) Thank you. (10:48) I really do appreciate that.
Scott Benner (10:50) What else could you do for me? (10:52) Why don't you tell a friend about the show or leave a five star review? (10:56) Maybe you could make sure you're following or subscribe in your podcast app, go to YouTube and follow me or Instagram, TikTok. (11:04) Oh, gosh. (11:05) Here's one.
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Scott Benner (11:31) I'm dropping in to tell you about a small change being made to the Juice Cruise twenty twenty six schedule. (11:36) This adjustment was made by Celebrity Cruise Lines, not by me. (11:39) Anyway, we're still going out on the Celebrity Beyond cruise ship, which is awesome. (11:43) Check out the walkthrough video at juiceboxpodcast.com/juicecruise. (11:48) The ship is awesome.
Scott Benner (11:50) Still a seven night cruise. (11:52) It still leaves out of Miami on June 21. (11:55) Actually, most of this is the same. (11:56) We leave Miami June 21, head to CocoCay in The Bahamas, but then we're going to San Juan, Puerto Rico instead of Saint Thomas. (12:04) After that, Bastille, I think I'm saying that wrong, Saint Kitts And Nevis.
Scott Benner (12:08) This place is gorgeous. (12:10) Google it. (12:11) I mean, you're probably gonna have to go to my link to get the correct spelling because my pronunciation is so bad. (12:15) But once you get the Saint Kitts and you Google it, you're gonna look and see a photo that says to you, oh, I wanna go there. (12:22) Come meet other people living with type one diabetes from caregivers to children to adults.
Scott Benner (12:28) Last year, we had a 100 people on our cruise, and it was fabulous. (12:33) You can see pictures to get at my link, juiceboxpodcast.com/juicecruise. (12:38) You can see those pictures from last year there. (12:40) The link also gives you an opportunity to register for the cruise or to contact Suzanne from Cruise Planners. (12:46) She takes care of all the logistics.
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