instruction: hi doctor I am 35 years old I am married for last years and having a kid I led a sedentary lifestyle my fasting blood sugar was 257 and up was 353 my hba1c was 3 I was diagnosed to have diabetes I consulted my friend with is a doctor and under his guidance I changed my diet and started the exercise I reduced my weight from 103 keg to 91 keg after three months my fasting was 17 and up 153 with hba1c 5 my lipid profile is normal for the past one week when I check my glucose level in glucometer at home it is less than 10 I am not in diabetes medicine I think I have ed what are the test that needs to be done to diagnose the same
output: hello I read your query and understand your concerns first of all I like to inform you that there is no test which alone can tell you whether you have ed erectile dysfunction or not other than the history and proper physical examination this is the thing which are done by the doctor when you present yourself in his or her office based on the observation doctor decides whether the tes are required or not in case required he only decides what are the tests required based on the available history details and clinical examination I mean to say that you need to see a properly trained sexologist to determine the number of tests required this is because the presence of abnormal test does not mean the test abnormality is the cause of the problem and similarly the presence of normal test result does not rule out the problem however in routine practice we order normal biochemistry blood sugar get glucose tolerance test hba1c lipid profile let liver function test and thyearoid profile hormonal profile free and total testosterone prolactin oh luteinizing hormone and fish follicle stimulating hormone us abdomen and pelvis and penile doppler study among others these are often a minimal requirement and the number of tests can change as per the need of the individual patients I hope this helps you feel free to write back to me if you have more questions