How to Stop Frequent Urination in Diabetes?

Frequent urination is passing urine more often than usual. Usual frequency of passing urine varies from individual to individual (6 – 7 times on an average).

  • It can manifest as frequently throughout the day or as frequency only during the night (termed as nocturia).
  • If associated with the passing of large volume of urine (>3 litres per day), it is termed as Polyuria.

What are the Causes?

Uncontrolled high blood glucose levels

  • One major cause is uncontrolled hyperglycemia (high blood glucose levels).
  • The kidneys cannot completely reabsorb the abnormally high glucose levels present in the blood, and some of this is lost into the urine, where it draws more water resulting in a large volume of urine.
  • It is accompanied by other symptoms like increased thirst, fatigue and weight loss.

Urinary tract infection (UTI)

  • Another common cause of frequent urination is Urinary Tract Infection (UTI).
  • People with diabetes are more susceptible to infections, with urinary tract being a common site for infections.
  • This is mainly due to impaired immune defence mechanisms resulting from chronic hyperglycemia itself.

Urinary bladder complication

  • Diabetic cystopathy, which is a bladder complication resulting from diabetic autonomic neuropathy, leads to stasis of urine in the bladder.
  • This further predisposes the individual to UTI.
  • It can also cause urinary incontinence as the person may not be able to sense the fullness of the bladder.

How to Control?

  • The underlying cause of frequent urination needs to be identified to control it.
  • If it is associated with increased thirst, fatigue and weight loss, high blood glucose levels should be suspected.
  • When it is due to UTI or bladder complication will have urgency, pain during micturition or incontinence.
  • The central cause for either infections or complications ( bladder) predisposing them is hyperglycemia.
  • Therefore, achieving and maintaining an adequate glycemic control to prevent them as well as identifying them at an early stage is essential.

Most often, frequent urination is due to a simple cause like drinking excess water or overactive bladder that does not require any evaluation. Sometimes, it can indicate a severe condition that needs early identification and management. When associated with red or dark coloured urine, abdomen pain or fever, should immediately consult and get a proper evaluation.

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