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Why Do Diabetics Urinate So Much


You Might Have Interstitial Cystitis

Frequent Urination | Why Do I Have To Pee So Much?

Interstitial cystitis, also known as painful bladder syndrome, is a chronic condition that can cause frequent urination, as well as bladder pressure and pain, says Dr. Bortecen. While a UTI might be caused by an infection and can easily be treated with antibiotics, interstitial cystitis is a longer-term condition that is not as easily treatable.

People with this condition feel urgency and tend to urinate more often, with smaller volumes of urine than most people, says Dr. Bortecen. The condition comes from an immune reaction to the bladder from an irritating substance in the urine that damages the bladder, causing the sensation of urgency, as well as bladder spasms.”

Unfortunately, diagnosing IC can be tricky, as its often undetected or misdiagnosed as something else. Diagnosis and treatment of this condition are very similar to overactive bladder, he says. Because IC is thought to be an autoimmune condition, certain immunosuppressive medications, such as Cyclosporine, have been successfully used to treat it.

Slow Healing Wounds And Increased Skin Infections

Lingering sugar in the blood wreaks havoc on veins and arteries disrupting circulation. Without proper blood flow, it takes longer for cuts and bruises to heal, and you are more prone to skin infections.


Red Flag: Paper cuts, bumps and bruises take more than a few days to go away, cuts scab over repeatedly or wounds that last weeks to months.

Do You Urinate A Lot It Might Be Diabetes

If you have diabetes, one of the common problems is either frequent urination or the feeling that you always have to go to the bathroom. Its so common for diabetics that this symptom is an indication to doctors that you might have the disease. Young or old, diagnosed or not, if you have urinary problems related to diabetes, there is help available to make your life better. Urologist Dr. Sara Lenherr and Dr. Kirtly Jones discuss the issues, available tests and the solutions.

Dr. Jones:


Here in The Scope studio, we have Dr. Sara Lenherr, who is a urologist by training, but subspecialty trained in neurology. Today we’re talking about diabetes because diabetes is a complex disease. It affects every part of the body and the bladder is the final common pathway of both nerves and sugar and trouble. Welcome to The Scope, Sara.

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Usually we try to place that in a suprapubic location, so right above the pubic bone below the belly button, and that helps drain the bladder and improves quality of life in a lot of patients. But these are really specialized conversations that we have with both the patients and their families to determine who is going to help out the patient and who is going to be able to help keep the patient safe and happy.

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Common Symptoms Of Type 2 Diabetes

  • American Diabetes Association. Standards of Medical Care in Diabetes2009. Diabetes Care. 2009 32:S13-61.
  • Becker G. Type 2 Diabetes: An Essential Guide for the newly Diagnosed. 2nd ed. New York, NY: Marlowe & Company 2007.
  • McCulloch D. Patient information: Diabetes type 2: Overview. UpToDate Web site. January 30, 2009. Available at: http://www.uptodate.com/patients/content/topic.do?topicKey=~n0K0MIfI1iZs.& selectedTitle=5~150& source=search_result. Accessed April 20, 2009.
  • McCulloch D. Patient information: Diabetes mellitus type 2: Overview. UpToDate Web site. December 4, 2008. Available at: http://www.uptodate.com/patients/content/topic.do?topicKey=~X0jjLnBn4._ko& selectedTitle=4~150& source=search_result. Accessed April 20, 2009.

Blurred Vision Could Be A Result Of Rapid Blood Sugar Changes

Why Does Diabetes Make You Urinate So Much?

Blurred vision can occur when there are rapid changes in blood sugar from low to high or high to low and the eye muscles have not yet adapted to it, Dr. Einhorn says.

The lens of the eye is a flexible membrane suspended by muscles that change the shape of the lens to focus the eye. In a high-sugar environment, such as with uncontrolled type 2 diabetes, the lens loses some of its ability to bend, he explains, and the muscles of the eye have to work harder to focus.


The good news: Caught early, diabetes-related vision changes can return to normal after about six week of healthy blood sugar levels, Turner says. Caught in time, vision may take about six weeks to return to normal.

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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.

The Color Of Your Urine

Different medications, foods, illnesses , and other factors can affect the color of your urine. The color of your urine can give you important clues as to whats going on inside your body. There are other properties of urine that can make it easier for doctors and medical providers to determine whats going on inside. Our urine is the end result of all the metabolic processes that go on in our bodies, so it provides a valuable diagnostic source.

The amount of fluid in the body affects the color of urine. The more dehydrated the person is, the darker the urine can look. The more hydrated that the person is, the lighter in color that it may appear.


What does normal urine look like?

The normal look of urine ranges from pale yellow and clear, to a darker yellow. When red blood cells are destroyed, they breakdown into urobilin, which is a waste product from these cells. These waste products form a pigment, urochrome, which gives normal urine the characteristic yellowish color.

Hydration vs. dehydration

When urine barely has a yellow color, a person may be too hydrated. Urine that is basically colorless during a urine drug screen indicates an attempt to overhydrate, and cover up the presence of illegal drugs. Conversely, when urine has a dark yellow, or amber color, the person is likely dehydrated. In a person who takes diuretics, such as Lasix, the urine may also be pale in color.

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What Does Diabetes Do To The Kidneys

With diabetes, the small blood vessels in the body are injured. When the blood vessels in the kidneys are injured, your kidneys cannot clean your blood properly. Your body will retain more water and salt than it should, which can result in weight gain and ankle swelling. You may have protein in your urine. Also, waste materials will build up in your blood.

Diabetes also may cause damage to nerves in your body. This can cause difficulty in emptying your bladder. The pressure resulting from your full bladder can back up and injure the kidneys. Also, if urine remains in your bladder for a long time, you can develop an infection from the rapid growth of bacteria in urine that has a high sugar level.

Peeing Often Is A Condition Which Can Be Caused Due To Other Problems By Diabetes

What causes frequent urination?

    There are many symptoms and signs of diabetes and frequent visits to the toilet is certainly one of them. But yes, just because you are peeing more frequently doesnt always mean you have got diabetes. We need to understand the relationship between urination and diabetes.

    When a person suffers from diabetes the body produces less insulin, a vital hormone which converts sugar to energy. Less insulin means, the kidneys have to step in to process the sugar in the body. Having too much sugar in the body makes the kidneys flush out more liquid from the body which is the cause of the more than usual loo breaks.

    Diabetic patients face the condition of hyperglycemia which can cause sweet smelling urine. The change in the smell of urine is one of the solid evidence indicating that the person has developed diabetes. In other cases, sweet smelling urine is the outcome of Diabetic Ketoacidosis, a life threatening condition. It is caused by type 1 or type 2 diabetes.

    Cloudy urine can also be one of the symptoms of diabetes. Although cloudy urine can also be produced due to many other causes which have little or no relation with diabetes.

    Peeing often is a condition which can be caused due to other problems by diabetes. Those problems include:

    • Kidney infection

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    What Are The Types Of Diabetes Insipidus

    There are four types of diabetes insipidus:

    • Central diabetes insipidus, the most common form, happens when the brain doesnt release enough ADH. This can be caused by damage to the pituitary gland or the hypothalamus, a section of the brain near the pituitary gland. The hypothalamus produces ADH and other hormones and controls their release. There are many possible causes of this damage, including an inherited defect in a gene, surgery or injury involving the head, tumors, and infections.
    • Nephrogenic diabetes insipidus happens when there is enough ADH, but the kidneys dont respond to it properly and cant retain the water. This can be caused by a reaction to a medication, often lithium. It can also be caused by a defect in the genes, a high level of calcium in the blood , or kidney disease.
    • Dipsogenic diabetes insipidus is not related to ADH, and is caused by drinking too much fluid. It occurs when the mechanism that makes a person feel thirsty is damaged, so the person feels thirsty even when fluid isnt needed. It can be caused by damage to the hypothalamus or by mental illness.
    • Gestational diabetes insipidus affects pregnant women. It is caused by enzymes made by the placenta, a temporary organ that provides nourishment to the fetus. Sometimes these enzymes interfere with the kidneys ability to process ADH. Gestational diabetes insipidus usually goes away shortly after the pregnancy is over.

    You Have A Urinary Tract Infection

    As if we could get away with not talking about this one! A urinary tract infection happens when bacteria, usually from your bowel, makes its way to your bladder, urethra , ureters , or kidneys, according to the National Institute of Diabetes and Digestive and Kidney Diseases . However, most UTIs happen in the bladder, the NIDDK says. In response to the infection, your bladder becomes inflamed and irritated, which can make it feel like you have to go 24/7 even if you dont actually have much pee in your system. Having a UTI can also just suck incredibly hard overall and cause intense burning and pain when you do try to pee.

    You cant treat a UTI on your own, no matter what youve heard. Youll need to talk to your doctor for antibiotics. Even though you may not be able to actually go in and see your doctor as easily right now due to the new coronavirus pandemic, you really should get in touch with a medical provider if you think you have a UTI. Dont try to wait it outa UTI can progress into a kidney infection when left untreated, which is typically immensely painful and can even be life-threatening.

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    When To Seek Medical Advice

    You should always see your GP if you’re feeling thirsty all the time.

    Although it may not be diabetes insipidus, it should be investigated.

    Also see your GP if you’re:

    • peeing more than normal most healthy adults pass urine 4 to 7 times in a 24-hour period
    • needing to pee small amounts at frequent intervals sometimes this can occur along with the feeling that you need to pee immediately

    Children tend to pee more frequently because they have smaller bladders.

    But seek medical advice if your child pees more than 10 times a day.

    Your GP will be able to carry out a number of tests to help determine what’s causing the problem.

    You Could Have A Rare Medical Condition

    Why Does my Child Need to pee so Much?

    In rare cases, frequent urination can be a symptom of bladder cancer, says Dr. Brahmbhatt. The cancer can irritate your bladder, causing increased urination. The only way to know for sure you dont have cancer is to get yourself checked by a urologist, but bladder cancer is not common, so dont freak out you probably do not have it, he says. It’s also worth noting that other symptoms, such as blood in the urine, commonly present with bladder cancer, so if you’re just peeing a lot and not experiencing any other symptoms, it’s probably nothing to worry about.

    Frequent urination can also be the byproduct of a stroke. Sometimes when men have had strokes, this can lead to nerve damage within the nerves that go to the bladder. This can cause either going too much or having retention where you can not pee at all, he says.

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    What Health Problems Are Associated With Diabetes Insipidus

    Most people urinate one to two liters of urine a day, but a person with diabetes insipidus might urinate three liters or more. Patients often wake up in the middle of the night to urinate. Because they are losing a lot of water in the urine, these patients are at risk for dehydration.

    Patients who have diabetes insipidus have increased thirst and tend to drink a great deal of water. If the patient has no access to drinking water, he or she cannot make up for the loss of water, and the chemicals in the body get concentrated. The person may have increased levels of sodium in the blood , which cause confusion and other changes in mental status.

    Type 2 Diabetes Symptoms

    If you have type 2 diabetes, this means your body does not use insulin well. This is a hormone that helps sugar move into your cells so your body can use it for energy. Since there is not enough insulin to help this process, too much sugar stays in your blood.3

    Feeling thirsty all the time and urinating more than normal can be symptoms that are easy to miss. However, they can be important clues that your blood sugar is not well controlled. Recognizing these symptoms can help you get the right diagnosis and treatment sooner.

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    What Is The Home Remedy For Frequent Urination

    Perform the following steps to train your bladder:

    • Keep a journal to determine how frequently you go to the bathroom.
    • Delay urination with small intervals. Once you feel the need to pee, see if you can hold off for five minutes and work your way up.
    • Schedule trips to the bathroom.
    • Perform Kegel exercises regularly.

    Insulin Makes Fido Feel Better

    Why Do Men Frequently Pee at Night?

    If your pup is diagnosed by your veterinarian with diabetes, she will give you instructions for his care. Treatment usually involves dietary changes and insulin injections to replace the insulin that your pup’s body isn’t correctly producing. Your vet may recommend a food for your pup that’s high in fiber, which won’t cause spikes in your pup’s glucose levels and will also help control his weight. With proper treatment, your pup should no longer urinate or drink excessively because his blood sugar levels will be correctly controlled. If these types of symptoms return, you need to visit your vet. A change to his insulin dosage may be necessary.

    References

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    Is Peeing A Lot A Sign Of Anxiety

    So when you feel anxious, your bodys fear response can be triggered, overwhelming your bladders mechanisms for retaining urine, causing you to want to urinate, Ashwini Nadkarni, an associate psychiatrist with Brigham and Womens Hospital and an instructor of psychiatry at Harvard Medical School, told HuffPost.

    What Exactly Is Urine Made Of

    Urine is a clear, yellow liquid produced by the body to handle the wastes from normal body metabolism. When nitrogenous by-products build up in the blood from cellular metabolism, it must be cleared from the bloodstream.

    In our bodies, some of our toxic waste from metabolism is excreted through perspiration as urea. The rest is handled by an intricate filter system that makes up the human urinary system.

    The kidneys work through processes of filtering waste, reabsorption, and tubular secretion. They make urine through this complex filtration process, after which then the urine goes through the ureters, which are tubes to the bladder. Once urine reaches the bladder, it is then dispelled out of the body through a tube called the urethra, during a process called urination.

    What is urine made of?

    Being the liquid by-product of metabolism, urine is made from the toxins released from regular daily work of the cells. Nitrogen is one by-product, along with many other water-soluble toxins and chemicals. There are three main nitrogenous toxins that are produced by cellular metabolism.

    They are:

    • Uric acid
    • creatinine

    What is contained in your urine varies greatly related to your diet, and what kind of toxins you are introduced to. Health can play a factor. For example, large amounts of protein in the urine is indicative of illness. People who are healthy have very little protein found in their urine.2

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    What Are Some Symptoms Of Polyuria

    Some of the symptoms you may develop with polyuria include:

    • Large volumes of urine
    • Frequent urge to pee
    • Need to pee during the night

    If your symptoms continue even after making dietary changes and controlling your blood sugar levels, they may be caused by something else. Be sure to reach out to your doctor for the right diagnosis and treatment.

    Polyuria Frequent Urination. URL Link. Accessed June 19, 2017.

    Excessive Urination Volume . URL Link. Accessed June 19, 2017.

    How Can You Stop Peeing So Much

    Why Am I Peeing So Much Diabetes?

    If your polyuria symptoms are caused by hyperglycemia, then the quickest way to stop it is to get your levels back under control. Check your blood glucose levels. Take your medication. You may also want to drink some water to help re-hydrate your system.

    In the future, limit how many carbs and sweets you eat. This can help prevent excess urination due to diabetes.

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