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Frequent Urination A Sign Of Diabetes

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Last Updated: 02 July 2021

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General | Latest Info

More than 100 million American adults are living with prediabetes or Type 2 Diabetes, according to latest estimates from the Centers for Disease Control and Prevention. But the number of people who know they have diseases which can lead to life - threatening complications, like blindness and heart disease, is far lower. Data from CDC suggest that of estimate 30. 3 million Americans with Type 2 Diabetes, 7. 2 million, or 1 in 4 adults living with the disease, are not aware of it. And among those people living with prediabetes, only 11. 6 percent are aware that they have a disease. Prediabetes is marked by higher than normal blood sugar levels, though not high enough to qualify as Diabetes. Cdc notes that this condition often leads to full - blown Type 2 Diabetes within five years if it's left untreated through diet and lifestyle modifications. Type 2 Diabetes, which is often diagnosed when a person has A1C of at least 7 on two separate occasions, can lead to potentially serious issues, like neuropathy, or nerve damage; vision problems; increased risk of heart disease; and other Diabetes complications. Person A1C is two - to three - month average of his or her blood sugar levels. According to Mayo Clinic, doctors may use other tests to diagnose Diabetes. For example, they may conduct a fasting blood glucose test, which is a blood glucose test done after night of fasting. While fasting blood sugar level of less than 100 milligrams per deciliter is normal, one that is between 100 to 125 mg / dL signals prediabetes, and reading that reaches 126 mg / dL on two separate occasions means you have Diabetes. People with full - blown Type 2 Diabetes are not able to use hormone insulin properly, and have what is called insulin resistance. Insulin is necessary for glucose, or sugar, to get from your blood into your cells to be used for energy. When there is not enough insulin or when a hormone doesnt function as it should, glucose accumulates in the blood instead of being used by cells. This sugar accumulation may lead to aforementioned complications. You can help assess your chances of developing Type 2 Diabetes by requesting an A1C test from your doctor, as well as by talking with your family about their health history with disease, as your genetics may influence your risk of Diabetes. Other risk factors of Type 2 Diabetes include obesity, inactivity, old age, personal history of gestational Diabetes, and race, according to Mayo Clinic. For instance, if you are Hispanic, African - American, or Asian - American, you may be at greater risk of Type 2 Diabetes. Nevertheless, you can prevent prediabetes and Type 2 Diabetes by maintaining a healthy weight; following a healthy diet that is rich in whole grains, fruit, vegetables, and lean protein; getting sufficient sleep; and exercising regularly. But preventing disease from progressing if you already have it requires first being able to spot signs and symptoms of Diabetes when they appear.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Takeaway

Excessive thirst is a hallmark symptom of diabetes. It is also called polydipsia. Thirst is linked to another common diabetes symptom: Urinating more than normal or polyuria. It is normal to feel thirsty when youre dehydrate. This can happen because: youre not drinking enough water, youre sweating too much, youve eaten something very salty or spicy, but uncontrolled diabetes can make you feel parched all the time without any reason. This article discusses why you feel so thirsty when you have Diabetes. We also look at how to treat excessive thirst in Diabetes. With the right daily medical treatment and care, you can prevent or reduce these symptoms.


Diabetes and thirst

Excessive thirst and frequent urination can happen in both type 1 and type 2 diabetes. You may also have other symptoms. Both kinds of diabetes can cause similar symptoms if theyre not treated and control, including: dry mouth, tiredness and fatigue, excess hunger, red, swollen, or tender gums, slow healing, frequent infections, mood changes, irritability, weight loss, numbness or tingling in hands or feet People with type 2 diabetes may not have any symptoms for many years. Symptoms may be mild and get worse slowly. Type 1 diabetes causes symptoms quickly, sometimes in only a few weeks. Symptoms may be severe.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Continued

Troublesome bladder symptoms and changes in sexual function are common health problems as people age. Having Diabetes can mean early onset and increased severity of these problems. Sexual and urologic Complications of Diabetes occur because of damage Diabetes can cause to blood vessels and nerves. Men may have difficulty with erections or ejaculation. Women may have problems with sexual response and vaginal lubrication. Urinary tract infections and bladder problems occur more often in people with Diabetes. People who keep their diabetes under control can lower their risk of early onset of these sexual and urologic problems. Both men and women with Diabetes can develop sexual problems because of damage to nerves and small blood vessels. When a person wants to lift their arm or take a step, brain sends nerve signals to appropriate muscles. Nerve signals also control internal organs like the heart and bladder, but people do not have the same kind of conscious control over them as they do over their arms and legs. Nerves that control internal organs are called autonomic nerves, which signal the body to digest food and circulate blood without person having to think about it. The body's response to sexual stimuli is also involuntary, governed by autonomic nerve signals that increase blood flow to genitals and cause smooth muscle tissue to relax. Damage to these autonomic nerves can hinder normal function. Reduce blood flow resulting from damage to blood vessels can also contribute to sexual dysfunction. Erectile dysfunction is consistent inability to have erection firm enough for sexual intercourse. Conditions include total inability to have erection and inability to sustain erection. Estimates of the prevalence of erectile dysfunction in men with Diabetes vary widely, ranging from 20 to 75 percent. Men who have Diabetes are two to three times more likely to have erectile dysfunction than men who do not have Diabetes. Among men with erectile dysfunction, those with Diabetes may experience problem as much as 10 to 15 years earlier than men without Diabetes. Research suggests that erectile dysfunction may be an early marker of Diabetes, particularly in men aged 45 and younger. In addition to diabetes, other major causes of erectile dysfunction include high blood pressure, kidney disease, alcohol abuse, and blood vessel disease. Erectile dysfunction may also occur because of side effects of medications, psychological factors, smoking, and hormonal deficiencies. Men who experience erectile dysfunction should consider talking with a health care provider. Health care providers may ask about a patient's medical history, type and frequency of sexual problems, medications, smoking and drinking habits, and other health conditions. Physical exams and laboratory tests may help pinpoint causes of sexual problems. Health care providers will check blood glucose control and hormone levels and may ask patients to do tests at home that check for erections that occur during sleep. Health care providers may also ask whether a patient is depressed or has recently experienced upsetting changes in his life.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Importance of early diagnosis

Table 2. Signs and Symptoms of Diabetes

SymptomsType 1 DiabetesType 2 Diabetes
Frequent urinationXX
Unusual thirstXX
Extreme hungerXX
Unusual weight lossX
Extreme fatigueXX
Sudden vision changesXX
Fruity, sweet, or wine-like odor on breathX
Heavy, labored breathingX
Stupor, unconsciousnessX
IrritabilityXX
Frequent infectionsXX
Blurred visionXX
Cuts/bruises that are slow to healXX
Recurring skin, gum, or bladder infectionsX

Shield findings indicate that the most commonly reported symptoms in any of the patient groups were frequent urination and increased fatigue. It is noteworthy that 70% of patients do not report having each of these symptoms thought to be highly characteristic of Diabetes. Symptoms are those of significant hyperglycemia, which should mainly occur in people with undiagnosed or poorly Control Diabetes. If one has Diabetes that is well control, these symptoms should not be report. This finding suggests that most diagnosed diabetic patients have little symptomatology or that this list of symptoms lacks specificity for disease. As early diagnosis of Diabetes is a central goal, it will be important to determine whether this large pool of diagnosed but largely asymptomatic respondents in SHIELD reflects earlier diagnosis and adequate symptom control through appropriate treatment or simply attention to wrong symptoms. Diagnostic usefulness of ADA symptoms may be limited by their occurrence in a restricted window of time between asymptomatic disease onset and treatment - induced symptom control. A recently published Danish study of newly diagnosed type 2 diabetic patients found that five of seven ADA symptoms, plus symptoms of genital itching, stomatitis, confusion, and balanitis, were associated with glycemic level, irrespective of age, sex, BMI, blood pressure, antihypertensive treatment, or complications. Unlike that study, which was confined to newly diagnosed type 2 diabetic patients, SHIELD samples were all individuals with previous diagnosis of Diabetes. Of respondents with diabetes, more than half report one or more ADA symptoms, compared with 45% of those at high risk and 31% of those at low risk. Of perhaps greater significance, 44% of those with type 2 Diabetes and 55% of those at high risk report no symptoms. From this data, one might conclude that 30% of those at low risk would be encouraged to visit their doctor immediately and be tested for Diabetes, likely with low yield, and 55% of those at high risk would be neither encouraged nor test. This indicates that using one or more of ADA symptoms alone as an impetus to see one doctor is not likely to discriminate between those with undiagnosed Diabetes and those at risk. Many of those with symptoms but no diagnosis may continue to be undiagnosed. In addition, patients with type 2 Diabetes commonly remain undiagnosed until complications appear, suggesting that the disease may be asymptomatic during the initial years. The strategy of achieving earlier diagnosis of Diabetes by educating patients about typical symptoms has other limitations. Many people with risk factors for Diabetes will never research Diabetes online and thereby learn warning symptoms or refer themselves to a doctor to seek and receive testing even if they are symptomatic. A recent statewide telephone survey found that family history of Diabetes was the only identified risk factor that generated concern and prompted consultation and testing for Diabetes.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Why bladder problems?

More than 29 million Americans have diabetes, but more than a quarter of them do know it. Frequent urination may be one of the first signs that you have high blood sugar, hallmark sign of diabetes. When you have diabetes, your body is unable to regulate blood sugar levels. Excess sugar causes more fluids to pass through the kidneys and increases urinary frequency, know as polyuria. There are other reasons that people with Type 2 diabetes can have increased urinary frequency and incontinence, say Noah Bloomgarden, MD, assistant professor of Medicine - endocrinology at Albert Einstein College of Medicine and clinical endocrinologist in division of endocrinology, diabetes, and metabolism at Montefiore Health System in Bronx, New York. But the most common cause is hyperglycemia, or uncontrolled diabetes. Polyuria is not as serious as many other complications commonly associated with diabetes, such as blindness, heart disease, stroke, kidney failure, amputation, and premature death. But it can be a sign that your blood sugar is elevate, so it is something you should address with your doctor. Frequent urination is not only bladder problem that occurs in people with diabetes. They may experience frequent urge to urinate, loss of bladder control that results in leaking urine, and urinary tract or fungal infections. Such infections can also lead to an increase in urinary frequency and incontinence, especially in the elderly. It really depends on the point person is at in developing diabetes, and what level of control they have, says Dr. Bloomgarden. If diabetes goes untreated or if it has been poorly controlled for a long time, you can develop secondary issues resulting from sugar buildup in body tissues. As it gets worse, sugar can begin to affect nerves around the bladder. With time, this can lead to bladder dysfunction, or what we call neurogenic bladder, Bloomgarden say. Neurogenic bladder is similar to diabetic neuropathy that causes tingling or numbness in the feet. In this case, nerve damage prevents the bladder from fully emptying. We do typically see each other in isolation, Bloomgarden say. Usually, we expect to see diabetic neuropathy elsewhere as well, such as on one foot. Other complications like kidney damage or eye problems such as retinopathy may also develop around the same time. If frequent urination is a concern, talk to your endocrinologist. It may simply be a matter of achieving better control of your diabetes, but your endocrinologist may recommend consulting with a urology specialist.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Diabetic bladder

A Diabetic bladder can lead to urinary retention, which means the bladder cannot void completely. Diabetes has damaged bladder nerves ability to signal when the bladder is full. Once the diabetic bladder develops to an advanced stage, bladder fullness is not sensed until the bladder overfill to two or three times its normal size. Paradoxically, excess glucose in the blood leads to excessive thirst and urination, which makes people urinate more frequently because they drink more fluid. Once nerve damage sets in, sensation of void is diminish, causing the bladder to overfill with urine. Overfilling stretches muscles in the bladder, which can weaken it, leading to decreased contractility. Because the bladder does have enough strength to expel all urine out, some urine is retained in the bladder. Retain urine increases the risk of infections, which are more common in people with diabetes in the first place. Diabetes can cause external urethral sphincter dysfunction. External urethral sphincters are muscles that surround urethra, keeping it shut so urine doesnt leak out. Usually, when someone urinate, external sphincter muscle relaxes, and when person does muscle contracts. But when sphincter muscles are damaged by diabetes, they can either fail to relax, causing urinary retention or fail to contract, causing involuntary leakage of urine. Diabetes can also impair relaxation of the internal urethral sphincter, which also affects the flow of urine out. The bladder can also become overactive: damaged nerves can send wrong signals to the bladder, making it squeeze and expel fluids without warning.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Treatment

Other treatments address frequent urination rather than the underlying cause. Kegel exercises: Regular daily exercises, often done around pregnancy, can strengthen muscles of the pelvis and urethra and support the bladder. For best results, perform Kegel exercise 10 to 20 times per set, three times a day, for at least 4 to 8 weeks. Biofeedback: used alongside Kegel exercises, biofeedback therapy enables patients to become more aware of how their body functions. This increased awareness can help patients improve their control of their pelvic muscles. Bladder training: This involves training the bladder to hold urine longer. Training usually lasts 2 to 3 months. Monitoring fluid intake: this may show that drinking a lot at certain times is the main cause of frequent urination.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Prevention

Medical Author: Betty Kovacs, MS, Medical Editor: William C. Shiel Jr., Md, FACP, FACR viewer Question: Is there anything I can eat to improve my sex drive? Doctor's Response: If recipe for better sex drive was found in food, grocery shopping would take on a whole new meaning! This is a great question that has some compelling and some controversial answers. Before deciding which foods to try, you will need to figure out if there is an underlying cause for lack of sex drive. And the best person to help you with this would be your doctor. Compelling answers are based on research and often revolve around uncontrolled medical conditions. Fortunately, your diet is a key factor in controlling many of these conditions. Here are some examples: men who have diabetes are three times more likely to have erectile dysfunction as men who do not have diabetes. As many as 35% of women with diabetes may experience a decrease or absent sexual response. Keeping your blood sugar under control is key. A diet rich in vegetables, lean meats, whole grains, and fresh fruit and with limited quantities of sugar, refined grains, and processed foods is one of the keys to this.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Bladder Dysfunction

Diabetic bladder dysfunction refers to a group of bladder symptoms occurring in patients with Diabetes mellitus. Diabetic bladder dysfunction presents a spectrum of clinical symptoms representing a number of disorders ranging from bladder overactivity to impaired bladder contractility. Its prevalence has been estimated as being between 25 and 87%. However, since diabetes tends to occur in the elderly population, concurrent factors such as benign prostatic hyperplasia, neurological disorders, and aging may also contribute to voiding dysfunction, and make it difficult to assess the specific contribution of diabetic state to voiding dysfunction in these patients. Diabetic cystopathy was used by Frimodt Moller in 1976 and refers to lower urinary symptoms due to diabetic neuropathy. Diabetic cystopathy is characterized by increased post voiding residual volumes and enhanced bladder capacity that is accompanied by decreased bladder sensation and contraction secondary to damage of visceral afferent fibers in the bladder wall. This insidious process causes gradual changes in patient's voiding patterns, with reduced desire to void, which usually occurs at stored urine volume of 300 - 400 ml in healthy subjects. These patients commonly experience difficulty in initiating and maintaining micturition. Therefore, voiding reflexes appear sluggish and asymptomatic increase in bladder capacity and urinary retention occur. On the other hand, diabetic bladder dysfunction can also present as overactive bladder syndrome, usually described as Urgency, with or without Incontinence, usually with urinary frequency and nocturia. Indeed, bladder hypersensitivity and hypercontractility is much more common than bladder hypo - contractility. More than half of diabetic patients have detrusor hyperreflexia, while another 23% have reduced detrusor contractility and a further 10% demonstrate detrusor areflexia with the remaining 11% showing indeterminate findings. Base on both animal studies and human findings, Daneshgari et al. Presented temporal theory of diabetic bladder dysfunction which proposes that hyperglycemia - induced polyuria plays a major pathophysiological role during early stages of Diabetes polyuria, causing compensatory bladder hypertrophy and associating myogenic and neurogenic alterations. This stage is compatible with findings of hyperactive bladder during Urodynamic evaluation when patients are presented with bladder storage concerns. With time and accumulation of toxic metabolites, decompensation of bladder tissue and function ensues, resulting in classical signs and symptoms of diabetic cystopathy in patients with Urinary voiding problems.


Treatment

Patients with classical signs of diabetic cystopathy but who do not benefit from non - pharmacological and pharmacological interventions are candidates for surgical intervention. The aim of these procedures is to minimize the risk of urinary tract infection. Vesical neck resection, which is performed through transurethral rout and leaves external sphincter intact to preserve urinary continence, has been advocated by some authors. The Rationale for this procedure is based on resistance reduction in the presence of hypotonic bladder. There is, however, risk of retrograde ejaculation in men and cystourethrocele in women. In addition, function of the external sphincter may be impaired due to diabetic neuropathy and also lead to urinary incontinence. Bladder outlet resistance may also be reduced by selective pudendal nerve block. In this procedure, solution of 1% lidocaine is used initially to determine if micturition is improved and post voiding residual volume decrease, before unilateral pudendal neurectomy is considered as a treatment option. Sacral neuromodulation is another approved method for urinary urge incontinence, urge - frequency incontinence, and non - obstructive urinary retention refractory to non - surgical treatment. In this method, small wire lead is placed in S3 - S4 sacral foramen, which is then connected to an implantable pacemaker. Usually this method is performed in two steps;. The first stage is a trial stage in which fine wire lead is introduced into sacral nerve foramen for a test period of 1 - 4 weeks. If the patient improves more than 50% based on objective and subjective evaluation, then stage two or permanent step, in which an implantable pulse generator is placed in soft tissue of the patient's buttock. In a study on diabetic patients by Daniels et al. They show a success rate of 69. 2% in urge incontinence, 85. 7% of those with urgency - frequency, and 66. 7% of those with urinary retention, which was not different from non - diabetic cohorts. However, diabetic patients had higher incidence of device explantation due to infection.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Urinary Tract Infections

People whose diabetes is not properly controlled have twice the risk of developing infections. In addition to diabetes, you could be more susceptible to urinary tract infections if: your blood glucose levels are not properly control. Sugar in urine promotes bacterial growth. Your nervous system is already affected by diabetes. You could have a lazy bladder that does not empty completely. You are a woman. Certain anatomical traits, such as having shorter urethra, increase the risk of bacterial contamination. You already have Diabetes complications in your kidneys or blood vessels. This could be a sign that your diabetes is not properly control. You have had urinary tract infection within last year. People who have had infections within the last year are more at risk of recurrence.


Diagnosis

All women with recurrent UTI should undergo physical examination to evaluate urogenital anatomy and vaginal tissue estrogenization. Postvoid residual urine volume also should be measure. Diabetes screening is indicated in patients with other risk factors like family history and obesity. Most women do not need extensive urologic investigations. However, women who suffer infection with organisms which are not common causes of UTI, such as Proteus, Klebsiella, Enterobacter, and Pseudomonas, may have structural abnormalities or renal calculi. They would benefit from imaging studies of upper urinary tract and cystoscopy. Women who have persistent hematuria after recovery from their infection also require complete urologic workup. Although empirical therapy based on symptoms is generally accurate and cost - effective, women who are thought to be in early stages of problems with recurrent UTI should have document cultures. The Urine culture serves as a gold standard for diagnostic accuracy. The standard definition of UTI in culture is > 100 000 colony forming units per HPF. This value has excellent specificity but sensitivity of only 50%.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions

Sources

* Please keep in mind that all text is machine-generated, we do not bear any responsibility, and you should always get advice from professionals before taking any actions.

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