Fildena Super Active, which contains sildenafil, can often be used safely by men with diabetes, but with certain precautions. Diabetes itself can contribute to erectile dysfunction (ED) due to blood vessel and nerve damage, so medications like sildenafil are commonly prescribed to improve erectile function. However, there are important considerations for diabetic patients: Blood sugar control: Poorly managed diabetes can reduce the effectiveness of ED medications. Maintaining stable blood sugar levels improves outcomes. Fildena Super Active health: Diabetes increases the risk of heart disease. Sildenafil can affect blood pressure, so men with heart conditions or those taking nitrates should not use it. Kidney or liver function: Diabetes can impact these organs, which affects how the body metabolizes sildenafil. Dose adjustments may be necessary. Side effects: Common side effects include headache, flushing, or dizziness, and these may be slightly more pronounced if other diabetic medications are being used. Medical supervision is essential. A doctor can confirm the safe dose, check for interactions with other diabetes medications, and monitor overall cardiovascular health.