This presentation discusses the importance of sexual expression for physical health and mental health. Human sexual satisfaction is important for all humans ... it is especially important with those dealing with disease. This presentation focuses on Healthy sexuality for persons dealing with the disease of diabetes. It talks about the elements of sexual satisfaction and provides specific tips to create more-satisfying intimacy and sexual communication.

1. Diabetes, Sexuality &
Sexual Satisfaction
Presented by:
Marlene Shiple, Ph.D.
The Life Coach Dr./Counselors Associated, Inc.
One E. Camelback Rd., Suite #550
Phoenix, AZ 85012
(602) 266 – 6662
coach@thelifecoachdr.com
http://thelifecoachdr.com/coach/

2. Diabetes, Sexuality &
Sexual Satisfaction
Human Sexuality
* Important to health

3. Diabetes, Sexuality &
Sexual Satisfaction
Human Sexuality
* Important to health
* Important to well-being

4. Diabetes, Sexuality &
Sexual Satisfaction
Human Sexuality
* Important to health
* Important to well-being
-- World Health Organization, ‘74

5. Diabetes, Sexuality &
Sexual Satisfaction
Human Sexuality
* Does diabetes lead to impotence?

6. Diabetes, Sexuality &
Sexual Satisfaction
Human Sexuality
* Does diabetes lead to impotence?
* Does diabetes lead to sexual
dissatisfaction?

7. Diabetes, Sexuality &
Sexual Satisfaction
Human Sexuality
* Does diabetes lead to impotence?
* Does diabetes lead to sexual
dissatisfaction?
What is your experience?

8. Diabetes, Sexuality &
Sexual Satisfaction
Human Sexuality
* Does diabetes lead to impotence?
* Does diabetes lead to sexual
dissatisfaction?
What is your experience? … It matters!

9. Diabetes, Sexuality &
Sexual Satisfaction
The largest sexual organ … ?

10. Diabetes, Sexuality &
Sexual Satisfaction
The largest sexual organ: the Brain

11. Diabetes, Sexuality &
Sexual Satisfaction
The largest sexual organ: the Brain
-- this is closely connected to the Mind

12. Diabetes, Sexuality &
Sexual Satisfaction
The largest sexual organ: the Brain
-- this is closely connected to the Mind
D. What you expect … you get

13. Diabetes, Sexuality &
Sexual Satisfaction
The largest sexual organ: the Brain
-- this is closely connected to the Mind
D. What you expect … you get
-- conscious mind

14. Diabetes, Sexuality &
Sexual Satisfaction
The largest sexual organ: the Brain
-- this is closely connected to the Mind
D. What you expect … you get
-- conscious mind
-- subconscious mind

15. Diabetes, Sexuality &
Sexual Satisfaction
The largest sexual organ: the Brain
-- this is closely connected to the Mind
D. What you expect … you get
-- conscious mind
-- subconscious mind
-- workings of each

16. Diabetes, Sexuality &
Sexual Satisfaction
The largest sexual organ: the Brain
-- this is closely connected to the Mind
D. What you expect … you get
-- conscious mind
-- subconscious mind
-- workings of each
B. NOT expect/look for something bad

17. Diabetes, Sexuality &
Sexual Satisfaction
Diabetes can cause complications

18. Diabetes, Sexuality &
Sexual Satisfaction
Diabetes can cause complications
-- can affect sexual health

19. Diabetes, Sexuality &
Sexual Satisfaction
Diabetes can cause complications
-- can affect sexual health
-- can affect sexual activity

20. Diabetes, Sexuality &
Sexual Satisfaction
Diabetes can cause complications
-- can affect sexual health
-- can affect sexual activity
Possible Physical Reactions:
a. Problems with Libido

21. Diabetes, Sexuality &
Sexual Satisfaction
Diabetes can cause complications
-- can affect sexual health
-- can affect sexual activity
Possible Physical Reactions:
a. Problems with Libido
b. Less Sexual Desire

22. Diabetes, Sexuality &
Sexual Satisfaction
Diabetes can cause complications
-- can affect sexual health
-- can affect sexual activity
Possible Physical Reactions:
a. Problems with Libido
b. Less Sexual Desire c. Less Satisfaction

23. Diabetes, Sexuality &
Sexual Satisfaction
Diabetes can cause complications
-- can affect sexual health
-- can affect sexual activity
Possible Physical Reactions:
a. Problems with Libido
b. Less Sexual Desire c. Less Satisfaction
d. Fewer Orgasms

24. Diabetes, Sexuality &
Sexual Satisfaction
Diabetes can cause complications
-- can affect sexual health
-- can affect sexual activity
Possible Physical Reactions:
a. Problems with Libido
b. Less Sexual Desire c. Less Satisfaction
d. Fewer Orgasms e. Less Lubrication

25. Diabetes, Sexuality &
Sexual Satisfaction
Diabetes can cause complications
-- can affect sexual health
-- can affect sexual activity
Possible Physical Reactions:
a. Problems with Libido
b. Less Sexual Desire c. Less Satisfaction
d. Fewer Orgasms e. Less Lubrication
=> More Avoidance

26. Diabetes, Sexuality &
Sexual Satisfaction
Diabetes can cause complications
-- can affect sexual health
-- can affect sexual activity
Possible Emotional Reactions

27. Diabetes, Sexuality &
Sexual Satisfaction
Diabetes can cause complications
-- can affect sexual health
-- can affect sexual activity
Possible Emotional Reactions
-- High Incidence of
-- Anxiety

28. Diabetes, Sexuality &
Sexual Satisfaction
Diabetes can cause complications
-- can affect sexual health
-- can affect sexual activity
Possible Emotional Reactions
-- High Incidence of
-- Anxiety
-- Depression

29. Diabetes, Sexuality &
Sexual Satisfaction
Diabetes can cause complications
-- can affect sexual health
-- can affect sexual activity
Possible Emotional Reactions
-- High Incidence of
-- Anxiety
-- Depression
-- Fears about having Diabetes

30. Diabetes, Sexuality &
Sexual Satisfaction
Diabetes can cause complications
-- can affect sexual health
-- can affect sexual activity
Possible Emotional Reactions
-- High Incidence of
-- Anxiety
-- Depression
-- Fears about having Diabetes
-- Fears about developing Sexual Problems

31. Diabetes, Sexuality &
Sexual Satisfaction
Diabetes can cause complications
-- can affect sexual health
-- can affect sexual activity
Possible Mental Reactions

32. Diabetes, Sexuality &
Sexual Satisfaction
Diabetes can cause complications
-- can affect sexual health
-- can affect sexual activity
Possible Mental Reactions
-- Stress about having Diabetes

33. Diabetes, Sexuality &
Sexual Satisfaction
Diabetes can cause complications
-- can affect sexual health
-- can affect sexual activity
Possible Mental Reactions
-- Stress about having Diabetes
-- Stress regarding beliefs about the disease

34. Diabetes, Sexuality &
Sexual Satisfaction
Diabetes can cause complications
-- can affect sexual health
-- can affect sexual activity
Possible Mental Reactions
-- Stress about having Diabetes
-- Stress regarding beliefs about the disease
-- Other thoughts: Undesirable

35. Diabetes, Sexuality &
Sexual Satisfaction
Diabetes can cause complications
-- can affect sexual health
-- can affect sexual activity
Possible Mental Reactions
-- Stress about having Diabetes
-- Stress regarding beliefs about the disease
-- Other thoughts: Undesirable
-- Not Sexy

36. Diabetes, Sexuality &
Sexual Satisfaction
Diabetes can cause complications
-- can affect sexual health
-- can affect sexual activity
Possible Mental Reactions
-- Stress about having Diabetes
-- Stress regarding beliefs about the disease
-- Other thoughts: Undesirable
-- Not Sexy Unattractive

37. Diabetes, Sexuality &
Sexual Satisfaction
Diabetes can cause complications
-- can affect sexual health
-- can affect sexual activity
In one study, 60% of women reported NO
Sexual Dysfunction

38. Diabetes, Sexuality &
Sexual Satisfaction
Questions for Self-Awareness:

39. Diabetes, Sexuality &
Sexual Satisfaction
Questions for Self-Awareness:
3. What is the purpose of Relationships?

40. Diabetes, Sexuality &
Sexual Satisfaction
Questions for Self-Awareness:
3. What is the purpose of Relationships?
4. What is the purpose of Sex?

41. Diabetes, Sexuality &
Sexual Satisfaction
Questions for Self-Awareness:
3. What is the purpose of Relationships?
4. What is the purpose of Sex?
5. Are there other ways to create #2?

42. Diabetes, Sexuality &
Sexual Satisfaction
Questions for Self-Awareness:
3. What is the purpose of Relationships?
4. What is the purpose of Sex?
5. Are there other ways to create #2? What?

43. Diabetes, Sexuality &
Sexual Satisfaction
Questions for Self-Awareness:
3. What is the purpose of Relationships?
4. What is the purpose of Sex?
5. Are there other ways to create #2? What?
6. What do You need?

44. Diabetes, Sexuality &
Sexual Satisfaction
Questions for Self-Awareness:
3. What is the purpose of Relationships?
4. What is the purpose of Sex?
5. Are there other ways to create #2? What?
6. What do You need?
7. What does your Partner need?

45. Diabetes, Sexuality &
Sexual Satisfaction
Questions for Self-Awareness:
3. What is the purpose of Relationships?
4. What is the purpose of Sex?
5. Are there other ways to create #2? What?
6. What do You need?
7. What does your Partner need?
8. What does your Relationship need?

46. Diabetes, Sexuality &
Sexual Satisfaction
Solutions: Multipart –

47. Diabetes, Sexuality &
Sexual Satisfaction
Solutions: Multipart –
1. Basic Belief System

48. Diabetes, Sexuality &
Sexual Satisfaction
Solutions: Multipart –
1. Basic Belief System
-- for women: Most physical
problems CAN be resolved!

49. Diabetes, Sexuality &
Sexual Satisfaction
Solutions: Multipart –
1. Basic Belief System
-- for women: Most physical
problems CAN be resolved!
-- for men: Most physical problems
CAN be resolved!

50. Diabetes, Sexuality &
Sexual Satisfaction
Solutions: Multipart –
1. Basic Belief System
-- for women: Most physical
problems CAN be resolved!
-- for men: Most physical problems
CAN be resolved!
To do so, must remove some Myths …

51. Diabetes, Sexuality &
Sexual Satisfaction
Solutions: Multipart –
1. Basic Belief System

52. Diabetes, Sexuality &
Sexual Satisfaction
Solutions: Multipart –
1. Basic Belief System
a) Myth #1: Men are responsible for
successful outcome of lovemaking

53. Diabetes, Sexuality &
Sexual Satisfaction
Solutions: Multipart –
1. Basic Belief System
a) Myth #1: Men are responsible for
successful outcome of lovemaking
b) Myth #2: Men must perform amazing
sexual feats to please partner

54. Diabetes, Sexuality &
Sexual Satisfaction
Solutions: Multipart –
1. Basic Belief System
a) Myth #1: Men are responsible for
successful outcome of lovemaking
b) Myth #2: Men must perform amazing
sexual feats to please partner
c) Myth #3: If this does not happen,
both should feel bad about ‘selves

55. Diabetes, Sexuality &
Sexual Satisfaction
Solutions: Multipart –
1. Basic Belief System
a) Myth #1: Men are responsible for
successful outcome of lovemaking
b) Myth #2: Men must perform amazing
sexual feats to please partner
c) Myth #3: If this does not happen,
both should feel bad about ‘selves
d) Corollary for woman: Mustn’t have
male disappointed

56. Diabetes, Sexuality &
Sexual Satisfaction
Solutions: Multipart –
1. Basic Belief System

57. Diabetes, Sexuality &
Sexual Satisfaction
Solutions: Multipart –
1. Basic Belief System: Change it!

58. Diabetes, Sexuality &
Sexual Satisfaction
Solutions: Multipart –
1. Basic Belief System: Change it!
2. Talk to Medical Doctor

59. Diabetes, Sexuality &
Sexual Satisfaction
Solutions: Multipart –
1. Basic Belief System: Change it!
2. Talk to Medical Doctor
3. Talk to Partner

60. Diabetes, Sexuality &
Sexual Satisfaction
Solutions: Multipart –
1. Basic Belief System: Change it!
2. Talk to Medical Doctor
3. Talk to Partner
4. Talk to Sexuality Therapist

61. Diabetes, Sexuality &
Sexual Satisfaction
Solutions: Multipart –
1. Basic Belief System: Change it!
2. Talk to Medical Doctor
3. Talk to Partner
4. Talk to Sexuality Therapist
5. Practical Steps

62. Diabetes, Sexuality &
Sexual Satisfaction
Solutions: Practical Steps –

63. Diabetes, Sexuality &
Sexual Satisfaction
Solutions: Practical Steps –
2. Use Fantasizing

64. Diabetes, Sexuality &
Sexual Satisfaction
Solutions: Practical Steps –
2. Use Fantasizing
3. Monitor food intake

65. Diabetes, Sexuality &
Sexual Satisfaction
Solutions: Practical Steps –
2. Use Fantasizing
3. Monitor food intake
4. Increase exercise

66. Diabetes, Sexuality &
Sexual Satisfaction
Solutions: Practical Steps –
2. Use Fantasizing
3. Monitor food intake
4. Increase exercise
5. Examine medication side effects

67. Diabetes, Sexuality &
Sexual Satisfaction
Solutions: Practical Steps –
2. Use Fantasizing
3. Monitor food intake
4. Increase exercise
5. Examine medication side effects
6. Take more time

68. Diabetes, Sexuality &
Sexual Satisfaction
Solutions: Practical Steps –
2. Use Fantasizing
3. Monitor food intake
4. Increase exercise
5. Examine medication side effects
6. Take more time
7. Use lubrication, estrogen suppositories

69. Diabetes, Sexuality &
Sexual Satisfaction
Solutions: Practical Steps –
2. Use Fantasizing
3. Monitor food intake
4. Increase exercise
5. Examine medication side effects
6. Take more time
7. Use lubrication, estrogen suppositories
8. Adjust positions

70. Diabetes, Sexuality &
Sexual Satisfaction
Solutions: Practical Steps –
2. Use Fantasizing
3. Monitor food
4. Increase exercise intake
5. Examine medication side effects
6. Take more time
7. Use lubrication, estrogen suppositories
8. Adjust positions
9. Kegels

71. Diabetes, Sexuality &
Sexual Satisfaction
Solutions: Practical Steps –
2. Use Fantasizing
3. Monitor food
4. Increase exercise
5. Examine medication side effects
6. Take more time
7. Use lubrication, estrogen suppositories
8. Adjust positions
9. Kegels
10. Prevent infections

72. Diabetes, Sexuality &
Sexual Satisfaction
Presented by:
Marlene Shiple, Ph.D.
The Life Coach Dr./Counselors Associated, Inc.
One E. Camelback Rd., Suite #550
Phoenix, AZ 85012
(602) 266 – 6662
coach@thelifecoachdr.com
http://thelifecoachdr.com/coach/