They can definately have a sex life. Diabetes(Type 1) can be associated with decreased testosterone in men, but this would generally be in association with other diabetes complications, and it can be treated. They are also more prone to erectile dysfunction, but also generally after many years, and it will depend on complications from diabetes. There is also treatment for this. Females generally don't have many issues. Pregnancy can be an issue if there are complications from diabetes, but these would need to be assessed when pregnancy is planned
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