It is very common for diabetes to affect sexual health by impacting blood circulation and nerve function. First, maintaining optimal blood sugar control is crucial. For erectile issues, oral medications called PDE5 inhibitors, such as sildenafil or tadalafil, are highly effective and generally safe, provided you do not take nitrate medications for heart conditions. For timing problems, doctors may prescribe selective serotonin reuptake inhibitors (SSRIs) like dapoxetine, or recommend topical anesthetic creams. Please consult your physician or a urologist. They will evaluate your cardiovascular health and prescribe the safest, most effective generic treatments tailored to your specific needs.