Aim and objectives: The aim of this study is to illuminate Diabetes Specialist Nurses' experience of talking about sexual health with adults with diabetes.

Background: It is well-known that diabetes mellitus may affect a person's sexual function. However, Diabetes Specialist Nurses do not routinely address sexual health with persons with diabetes.

Design: A qualitative approach with individual interviews was performed.

Method: Purposive sampling was used to recruit 12 informants from adult diabetes care, within primary health care and within hospital settings in Scania Region, Sweden between September and November 2021. A qualitative latent content analysis was used for data analysis. The COREQ guidelines were also followed to ensure rigor in this study.

Results: One theme “talking about sexual health is a hot topic” could be understood in light of three categories, “obstructive factors that complicate the talk”, “promoting factors that facilitate the talk” and “improvements to facilitate the talk” embraces the Diabetes Specialist Nurses’ experience of talking about sexual health with persons with diabetes.

Conclusions: Diabetes Specialist Nurses often experience difficulty talking about sexual health with their patients. The culture within diabetes care does not seem to contain an expectation that sexual health must necessarily be addressed.

Relevance to clinical practice: To increase knowledge in talking about sexual health within diabetes care, support is needed from both the organization and universities that hold diabetes education to include pedagogic tools on how to initiate sexual health.