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The Global Study of Sexual Attitudes and Behaviors(GSSAB) is a contemporaneous survey of attitudes,behaviours, beliefs and satisfaction with relationships among men and women aged 40–80 years. Interviews were conducted with more than 26,000 subjects from 28 countries. Data captured from the survey indicated that the majority of adults are sexually active into their later years and that sex remains an important part of their overall life. This paper will discuss comparisons between diabetic and non-diabetic participants. Overall, approximately 10 % of subjects reported that they had diabetes mellitus. Fewer diabetic than non-diabetic subjects reported that they had had sexual intercourse in the last 12 months and among sexually active subjects, diabetic subjects tended to report lower levels of physical and emotional satisfaction in their relationship with their partner. Symptoms of sexual dysfunction were more common among diabetic men than non-diabetic men. However, fewer than 15 % of subjects had discussed their sexual problems with a doctor. Key words: international survey, mature adults, diabetes mellitus, sexual health, sexual dysfunction, erectile dysfunction