Diabetes And Incontinence Type 2 Diabetes
If you live with type 2 diabetes, there is potential for your condition to exacerbate any bladder and bowel control problems you may be having.
Being overweight is a condition that puts people at higher risk of both type 2 diabetes and incontinence. Overweight and obesity are major contributors to bladder and bowel control, because the excess strain placed on the pelvic floor muscles weakens them and compromises their ability to support the bladder and bowel, and to shut off the urinary and anal passages.
Fluctuating blood glucose levels or long-term type 2 diabetes can cause damage to nerves, which can lead to problems with bladder and bowel control. This may manifest as a loss in sensation and having little warning about needing to go to the toilet or that your bladder is filling. There may be reduced sensation about whether or not the bladder or bowel is empty, increasing the risk of urinary tract infections , kidney damage or constipation.
Diabetes also interferes with the immune system which increases the risk of infection. This combination of immune system decline and poor bladder emptying due to nerve damage, puts people with diabetes at greater risk of UTIs. These can be treated with antibiotics and by practicing good personal hygiene for example wiping from front to back to avoid contaminating the vagina with bowel bacteria.
Content sourced from the Continence Foundation of Australia
Roller Coaster: Female Hormones
When a woman’s hormones change, so does their blood sugar. Keep a monthly record of your levels to get a better idea of how your menstrual cycle affects you. Hormone changes during menopause may make blood sugar even harder to control. Talk to your doctor about whether hormone replacement therapy is a good idea.
How Can People With Diabetes Avoid Getting Infections
Even though youre at a higher risk of infections if you have diabetes, you can take steps to lower that risk. Here are 3 tips for how to prevent infections:
Keep blood sugar controlled. One of the most effective ways to prevent infections is to keep your blood sugar under control. Your doctor will likely give you a hemoglobin A1C or blood sugar range to aim for. Keeping your levels below these ranges will help you avoid infections. Exercising for at least 30 minutes most days of the week, following an American Diabetes Association meal plan, and taking all diabetes medications as prescribed will help you keep your blood sugar levels at goal.
Get vaccinated against the flu and pneumonia on schedule. We discussed that sometimes having diabetes can increase your risk of certain infections or complications even if your blood sugar is under control. Get a flu vaccine every year to reduce your risk of catching the flu and developing flu complications. If you are under 65 years old, a one-time pneumococcal vaccine will help prevent pneumonia. If you are 65 or older, you should have a pneumococcal vaccine every 5 years to keep up that protection.
Get yearly diabetic foot exams. Special foot exams are recommended for people with diabetes. According to the ADA, you should have a diabetic foot exam at least once a year to help detect any loss of feeling, which may be an early sign of diabetic neuropathy.
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Will High Blood Sugar Cause Uti
But too much insulin or other diabetes medications may cause your blood sugar level to drop too low, causing hypoglycemia. Hypoglycemia can also occur if you eat less than usual after taking diabetes medication, or if you exercise more than you normally do. Hypoglycemia occurs when your blood sugar level falls too low. There are several reasons why this can happen the most common is a side effect of drugs used to treat diabetes. Hypoglycemia is a condition in which your blood sugar level is lower than normal. Glucose is your bodys main energy source. It is crucial that you obtain a blood glucose meter to keep you updated on your blood glucose level
How High Does Blood Sugar Go After Eating Your body also has the ability to make glucose. This process occurs mainly in your liver, but also in your kidneys. If blood sugar levels are dropping too low, some models of CGM will alert you with an alarm. Some insulin pumps are now integrated with CGMs and can shut off insulin delivery when blood sugar levels are dropping too
Why is my wee cloudy? The five causes of something serious and what to do next CLOUDY urine is a common complaint that can be surprising and upsetting. If you notice a change to the colour of your wee,
Your blood sugar ranges are an important a part of your fitness. If theyre too high, you can have intense diabetic symptom. Too low, and youll suffer excessive issues from hypoglycemia. The maximum not unusual cause to focus on blood sugar is that y.
How To Manage Diabetes And Incontinence
It is no secret that diabetes is on the rise in the United States. With 1.5 million new diagnoses each year, diabetes has a widespread effect on Americans. You may also know that individuals who have been diagnosed with one condition, such as diabetes, are often at a higher risk for developing other secondary conditions. Although often overlooked, diabetes is no exception, and the secondary condition can often be incontinence.
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Insulin Resistance In The Making How Does Insulin Resistance Occur
Your liver cells and muscle cells take up over three-quarters of the glucose produced by your meal. When your beta cells release insulin, the insulin drives the sugar from the blood circulation into the cells.
It is anticipated that the liver and muscle cells should be very responsive to the prompt by insulin to allow glucose inside those cells under normal circumstances.
The more responsive the cells are the more insulin sensitive you are.
However, there is a situation where even though your beta cells show a good first phase response, the amount of insulin released will not be enough to clear the circulating glucose from the blood.
This is because of what is happening peripherally in the receiving target organs the liver and muscles.
The cells of the liver and muscles become stubborn. They become unresponsive to the insulin released. The liver and muscle cells are resistant to the signals from the insulin to allow the glucose into them.
What happens next is that the second phase insulin release is prolonged. The second phase response is prolonged because the beta cells have to make and release lots more insulin to force a response by the resistant liver and muscle cells.
This lack of response by the liver and muscle cells to allow glucose inside their cells despite a persistent prompt by insulin is described as insulin resistance and is indeed how insulin resistance occurs.
This is called hyperinsulinemia.
Meaning theyve become resistant!
Diabetes And Bladder Symptoms
The effect of neuropathy on the bladder consist of a triad of changes. First of all a reduction of sensitivity in the bladder. This basically means that you will not sense bladder filling in the same way, resulting in infrequent visits to the toilet with the aim to void.
Secondly, as a consequence to this, bladder volumes will increase since you will not sense/notice that you need to void. Perhaps you will just go to the toilet once or twice per day?
Thirdly you will have an impaired bladder contractility making it impossible to empty your bladder completely. This results in retention, urinary tract infections, incontinence and in the long run, an increased risk of kidney failure.
So these changes leads to a magnified, a-contractile, hypotonic bladder that initially does not need to give so many symptoms. But when the sphincter also becomes affected, it can lead to urinary retention, incontinence and repeated urinary tract infections. Some people also have bladder pareses with painful chronic urinary retention.
You can also find additional information in our enCATHopedia Leaflet.
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How Do I Know If I Have Kidney Damage
Most people with early kidney damage do not have symptoms. The best way to find early kidney damage is to have a urine test once a year. This test checks for very small amounts of protein in the urine called albuminuria. It helps show kidney damage at an early stage in people with diabetes. Not everyone with kidney disease gets kidney failure. With the right treatment, you can prevent kidney disease from getting worse.
Bladder Conditions And Urinary Tract Infections
“Diabetes can affect the function and structure of the lower urinary tract, which in turn may play a role in patients with diabetes having more UTIs, overactive or underactive bladder, and problems with urination,” says Michael J. Kennelly, MD, Professor of Urology and Obstetrics & Gynecology at Carolinas Medical Center.
Over time, people with diabetes may lose sensory function. This can make it hard to know that you have to go to the bathroom. As a result, people may wait too long to go to the bathroom, or if the urine stays in the bladder too long, it may raise your chance for getting a bladder or kidney infection.
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Increased Risk Of Flu Complications And Pneumonia
Even if your blood sugar is under control, you still have a higher risk of developing serious complications from the flu if you have diabetes. Thats because of the way diabetes negatively affects your immune system. Sinus infections, pneumonia, hospitalization, and even death are all possible complications of the flu.
Common flu symptoms include fever, cough, body aches, chills, and fatigue. Pneumonia symptoms depend on how severe the infection is, but often include a cough with colored mucus, fever, sweats, chills, shortness of breath, and quick, shallow breathing.
The Excretory System And Diabetes
The excretory system consists of the kidneys and urinary tract, which together, filter and eliminate waste from the body. As blood circulates throughout the body, nutrients are extracted for energy. Once blood reaches the kidneys, any remaining waste products are extracted to maintain blood homeostasis. These filtered waste products are compiled into urine, which passes from the kidneys through the ureters to the bladder, from where it is eventually expelled.
Type 2 diabetes mellitus is a metabolic disease in which insulin resistance is a key causative factor. When carbohydrates are broken down after eating a meal, levels of glucose in the blood rise. In response to increased blood glucose, the pancreas secretes insulin, a hormone that circulates in the blood and binds to the insulin receptor on the surface of cells throughout the body. Once activated, the IR induces a signaling cascade that culminates in that cell taking up glucose, the breakdown of which generates cellular energy. Insulin resistance arises when the cells of the body do not respond well to insulin and do not take up glucose from the blood.
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Caution: Birth Control Pills
Types that have estrogen can affect the way your body handles insulin. Still, oral contraceptives are safe for women with diabetes. The American Diabetes Association suggests a combination pill with norgestimate and synthetic estrogen. The group also says birth control shots and implants are safe for women with the condition, though they can affect your blood sugar levels.
What Should My Blood Sugar Level Be
When youre first diagnosed with diabetes, your diabetes care team will usually tell you what your blood sugar level is and what you should aim to get it down to.
You may be advised to use a testing device to monitor your blood sugar level regularly at home.
Or you may have an appointment with a nurse or doctor every few months to see what your average blood sugar level is. This is known as your HbA1c level.
Target blood sugar levels differ for everyone, but generally speaking:
- if you monitor yourself at home with a self-testing kit a normal target is 4 to 7mmol/l before eating and under 8.5 to 9mmol/l 2 hours after a meal
- if your HbA1c level is tested every few months a normal HbA1c target is below 48mmol/mol
The Diabetes UK website has more about blood sugar levels and testing.
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Prevention Of A Kidney Infection
Preventing kidney infections usually starts with preventing UTIs in the lower urinary tract. Steps you can take to help prevent UTIs include:
- Drink lots of water throughout the day.
- Urinate when you feel the urge to do so dont wait.
- After using the toilet, wipe from front to back so you dont spread bacteria from your anus to your urethra.
- Urinate after having sex.
- Dont use unnecessary cleansing or deodorizing products in the genital area.
- Steer clear of birth control methods that can raise the risk of a UTI.
If you do develop a UTI, get it treated as soon as possible. See your primary healthcare provider for treatment, or visit an urgent-care facility for diagnosis and a prescription for antibiotics.
Treating a UTI promptly may prevent it from spreading from your bladder to your kidneys.
How Do I Make It Stop Burning When I Pee
8 Home Remedies for Urinary Tract Infection Symptoms Get Your Fill of Water and Water-Based Foods. Load Up on Vitamin C for a Healthy Urinary Tract. Soothe UTI Pain With Heat. Cut Bladder Irritants From Your Diet. Go Ahead, Empty Your Bladder Again. Consider Herbal Remedies. Change to Healthier Daily Habits.
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Lack Of Physical Activity
Lack of physical activity can increase your blood sugar, as skeletal muscles are a main part of the body that uses glucose for energy or stores extra glucose as glycogen for later use. With low levels of physical activity, the muscles become inactive and do not remove glucose efficiently from the blood.
Regular exercise can help lower blood sugar levels by increasing the need for muscles to remove glucose from the blood to use for energy.
Can I Drink Soda With A Uti
Alcohol isnt the only drink to avoid with a UTI . During treatment, your doctor may suggest drinking plenty of fluids to help flush bacteria from your urinary tract. However, avoid fluids that can cause further bladder irritation. These include drinks containing caffeine, such as tea, coffee, and sodas .
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Will Uti Go Away On Its Own
Antibiotics are an effective treatment for UTIs . However, the body can often resolve minor, uncomplicated UTIs on its own without the help of antibiotics. By some estimates, 2542 percent of uncomplicated UTI infections clear on their own . In these cases, people can try a range of home remedies to speed up recovery.
Can People With Diabetes Drink Cranberry Juice For A Uti
Doctors are generally hesitant to recommend cranberry juice to those with diabetes. It has a high amount of sugar and has the potential to increase glucose levels. For reference, there are 28 grams of added sugar in one cup of Ocean Spray cranberry juice.
Many doctors recommend a cranberry supplement containing the required 36 mg of PACs to maintain recurring urinary tract infections.
Fortunately, you can still reap the benefits of cranberries by introducing Utiva’s Cranberry PACs Supplement into your daily routine as 1 Utiva pill equals the same benefits of 4 glasses of cranberry juice!
One 8oz glass of cranberry juice has < 9mg PACs and > 30g of sugar.
One Utiva pill has 240mg of cranberry with 15% PAC concentration = 36mg PACs.
Want to hear what other doctors have to say about Utiva and PACs?
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Coronavirus Might Target Kidney Cells
The virus itself infects the cells of the kidney. Kidney cells have receptors that enable the new coronavirus to attach to them, invade, and make copies of itself, potentially damaging those tissues. Similar receptors are found on cells of the lungs and heart, where the new coronavirus has been shown to cause injury.
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How Do I Prevent Hyperglycemia
- Exercise to help lower blood sugar. Work with your healthcare provider to make a daily activity plan.
- Follow your meal plan if you have one. Learn how carbohydrates impact your blood sugar, and work with your diabetes care team to find the best meal plan for you.
- Maintain a healthy weight.
- Dont smoke.
- Limit drinking alcohol. Alcohol can raise blood sugar levels, but can also cause dangerously low blood sugar levels. Work with your provider to determine how much is safe to drink.
Last reviewed by a Cleveland Clinic medical professional on 02/12/2020.
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What Is A Kidney Infection Symptoms Causes Diagnosis Treatment And Prevention
A kidney infection, also known as pyelonephritis, occurs when harmful bacteria reach your kidneys as part of a urinary tract infection .
Most UTIs dont involve the kidneys. They affect only your lower urinary tract, meaning your urethra and bladder. But sometimes an infection that begins there moves into your upper urinary tract, affecting one or both kidneys.
Its also possible to get a kidney infection following surgery, if bacteria enter your body during the procedure and travel through your bloodstream to your kidneys. In this case, your lower urinary tract may not be affected.
If you have symptoms of a UTI or bladder infection such as pain with urination, smelly urine, low back pain, or discolored urine its important to seek medical treatment to prevent the infection from spreading to your kidneys.
Kidney infections can be quite painful and require prompt evaluation and treatment. If your infection isnt treated soon enough, it may permanently damage your kidneys or spread to your bloodstream, possibly leading to and the impairment of other vital organs.