Reviewer’s report
Title: Association between type 1 diabetes and female sexual dysfunction
Version: 2 Date: 04 Mar 2020
Reviewer: Linda Vignozzi
Reviewer's report:
The authors adequately addressed all my suggestions, except for the following point, concerning the
Results section: the comparisons regarding the number of previous pregnancies should be summarized
in a table, since the heterogeneity in the reproductive state of the patients could represent a limitation of
the study. Perhaps my comment was not so clear. Actually I suggested that the authors show the
associations between number of previous pregnancies and FSFI-6 by using a table, as well as they did
for complicated/not complicated diabetes/control group and for CSII/MDI/control group. 
Additionally, I would like to point out some typing/grammatical errors:
- Table 3: please correct "Triclycerides";
- Page 8, lines 19-20: please correct "This is could be due to..." deleting the word "is";
- line 37 page 7 - line 1 page 8: please correct "This is could be due a reduced variability..." with "This
could be due to a reduced variability...".
Finally, I would suggest to modify the term "pregnancies" in Table 3 into "previous pregnancies".
Are the methods appropriate and well described?
If not, please specify what is required in your comments to the authors.
Yes
Does the work include the necessary controls?
If not, please specify which controls are required in your comments to the authors.
Unable to assess
Are the conclusions drawn adequately supported by the data shown?
If not, please explain in your comments to the authors.
Yes
Are you able to assess any statistics in the manuscript or would you recommend an additional
statistical review?
If  an  additional  statistical  review  is  recommended,  please  specify  what  aspects  require  further
assessment in your comments to the editors.
I recommend additional statistical review
Quality of written English
Please indicate the quality of language in the manuscript:
Needs some language corrections before being published
Declaration of competing interests
Please complete a declaration of competing interests, considering the following questions:
1. Have you in the past five years received reimbursements, fees, funding, or salary from an
organisation that may in any way gain or lose financially from the publication of this
manuscript, either now or in the future?
2. Do you hold any stocks or shares in an organisation that may in any way gain or lose
financially from the publication of this manuscript, either now or in the future?
3. Do you hold or are you currently applying for any patents relating to the content of the
manuscript?
4. Have you received reimbursements, fees, funding, or salary from an organization that holds
or has applied for patents relating to the content of the manuscript?
5. Do you have any other financial competing interests?
6. Do you have any non-financial competing interests in relation to this paper?
If you can answer no to all of the above, write 'I declare that I have no competing interests' below. If
your reply is yes to any, please give details below.
I declare that I have no competing interests.
I agree to the open peer review policy of the journal. I understand that my name will be included on my
report to the authors and, if the manuscript is accepted for publication, my named report including any 
attachments I upload will be posted on the website along with the authors' responses. I agree for my 
report to be made available under an Open Access Creative Commons CC-BY license 
(http://creativecommons.org/licenses/by/4.0/ ). I understand that any comments which I do not wish to 
be included in my named report can be included as confidential comments to the editors, which will not
be published.
I agree to the open peer review policy of the journal