Diabetes And Incontinence

Originally published on: June 27th, 2017. Last modified on October 4th, 2021

Diabetes is a metabolic syndrome where the blood sugar levels become higher than normal, which can cause a range of symptoms. It occurs when the pancreas fails to produce enough or any insulin to move glucose into the cells in our body. This causes a buildup of sugars in the blood.

It can be separated into several conditions

  • Prediabetes– characterised by slightly raised blood sugar levels. This condition can be reversed by adopting a healthy lifestyle
  • Type 1 diabetes– is an autoimmune disease where the body fails to produce insulin, insulin replacement therapy is needed
  • Type 2 diabetes– or diabetes mellitus is a metabolic condition where the body struggles to produce enough insulin. Adopting a low sugar and low carb lifestyle can help to keep the condition in check

This is a condition that is on the rise. It is thought that the high levels of obesity is contributing to the issue with many being diagnosed prediabetes or with Type 2 diabetes as a result.

据估计,英国大约有390万患者。这种情况会导致其他严重的疾病,如心脏病、肾病和失明。一些人也可能经历膀胱和/或肠道的问题,这可能会导致痛苦。

Diabetes Symptoms

There are some key diabetes symptoms that are common including:-

  • Increased thirst
  • Needing to urinate more often
  • Increased hunger
  • Weight loss
  • Fatigue
  • Dizziness
  • Nausea
diabetes-and-incontinence

There are also some symptoms that are specific to your type and vary greatly from person to person.

Can Diabetes Cause Incontinence?

Bladder problems can be experienced by people with diabetes. This can be caused by a neurogenic bladder, which is caused by nerve damage (neuropathy) that can happen if blood sugar levels are not bought under control. Symptoms of neurogenic bladder include:

People may also experiencenocturia, the need to urinate more than once during the night, which can be a sign of uncontrolled blood sugar levels or aurinary tract infection. Constipation and diarrhoea can also occur and can be caused by certain medications used to control it.


Diabetes and IncontinenceTreatments

你的糖尿病症状将取决于你的膀胱或肠道状况。有各种各样的治疗方法来治疗与这种疾病相关的主要病症。血糖失控会导致尿路感染的几率增加,如果不及时治疗,又会对肾脏造成损害。如果你怀疑自己患有UTI和糖尿病,立即寻求治疗是很重要的。饮食健康有助于控制你和你的膀胱或肠道状况。

CONSERVATIVE TREATMENTS

Diet And Lifestyle

In order to keep the bladder and bowel healthy it is important that the person concerned eats a healthy, balanced diet with plenty of fibre and consumes enough fluid (ideally water and around 6-8 glasses a day) in order to regulate the bowel and keep stools at the right consistency. It is best to limit or avoid caffeine, fizzy drinks and alcohol as these can irritate the bladder and increase blood sugar levels.

Bladder Diary/ Retraining

膀胱再训练是一种简单有效的方法,用于治疗频率和膀胱问题。您将被要求将您的排尿习惯记录在一张图表上,并根据图表的模式通过抵抗紧迫感/频率感来增加排尿时间的长度。You can find out further information on Bladder Diary/ Retraining by clickinghere.

Intermittent Catheterisation

If you’re suffering from urinary retention, catheterisation can help you void your bladder, limiting the chance of overflow incontinence and causing damage to your bladder or kidneys. This involves inserting a small disposable plastic tube into the urethra in order to empty the bladder. Although it may sound a little daunting at first, many people find that this is an easy and the most convenient method of catheterisation.Click hereto find out more about intermittent catheterisation.

Indwelling Catheterisation

Indwelling catheterscan be used as a short term or long term solution. This involves inserting a small plastic tube into the urethra, which can then be attached to a drainage bag or catheter valve. These types of catheter will need to be changed roughly every 4-12 weeks to avoid infection.

Just Can’t Wait Toilet Card and RADAR Key

当你有膀胱和肠道疾病时,外出时感到焦虑会使你的症状更严重。有一张“迫不及待”的厕所卡可以让你更放心,更自信地使用公共设施。You can get a freeJust Can’t Wait toilet cardor order a plastic Just Can’t Wait Card via post for a small charge.

It may also help for you to have a RADAR key, which means you will be able to visit public accessible/disabled facilities. You do not need to have a visible disability or be in a wheelchair to use this key. If you have a medical condition which requires you to use accessible facilities then you are eligible to do so, and can purchase a key here from www.radarkey.org. RADAR keys are available to purchase, and may be available on a discretionary basis for customers of ourBladder & Bowel Home DeliveryService.


MEDICINAL

Betmiga

贝美佳是一种口服药物,是一种肌肉松弛剂,如果保守方法不起作用,可以用于治疗频率和急迫性。Some people experience side effects on this medication, you can find out how Betmiga workshere.

Antispasmodic Medications

有几种药物可以帮助预防膀胱肌肉痉挛,这可以帮助减少尿急、尿频和膀胱过度活动;它们属于一组药物称为抗毒蕈碱或抗胆碱能药物。下面是一些可能会被开处方的药物列表和更多信息的链接。

Antibiotics

If a urinary tract infection is the cause of urinary incontinence then your GP will be able to prescribe an antibiotic treatment to clear the infection. In many cases this can help alleviate any incontinence issues once the infection is resolved. Your GP may prescribe a long term, low level dose if recurrent infections become a problem in order to prevent them.

Laxatives

To relieve short term constipation quickly, there are some over-the-counterlaxativesthat you can purchase. These can be used in order to avoid impaction of the bowel and any overflow incontinence as a result.

有各种各样的泻药,作用方式各不相同。膨胀泻药,如Fybogel,其工作原理与增加饮食中的纤维相同;渗透性泻药的作用是软化粪便,使其更容易排出,以及刺激性泻药,如塞纳,它鼓励蠕动,刺激肠道排出粪便。一定要和当地的药剂师或全科医生讨论使用哪种泻药最好。


SURGICAL

Bladder Augmentation

If conservative treatments and medication have failed then you may be referred to a surgeon to discuss your options. A bladder augmentation is one surgical option available. There are several ways in which this operation can be performed and your surgeon will discuss the best option for you. This operation is considered major surgery and involves cutting the bladder open. Find out further details aboutBladder Augmentation here.

Suprapubic Catheter

Asuprapubic catheterinvolves making a small incision in the abdomen and inserting a tube directly into the bladder, therefore bypassing the urethra. For those who are looking at longer term catheterisation this may be a more comfortable option and lessens the chance of developing a UTI. You can attach a drainage bag or catheter valve in the same way you would an indwelling catheter.

Botulinum Toxin

Botulinum Toxinor Botox as it is more commonly known is a powerful neurotoxin, which works by blocking the electrical impulses to a nerve that makes a muscle contract causing muscle paralysis. This is a relatively new treatment licensed to treat bladder overactivity. It will usually only be considered if medications have failed to improve your conditions.

Detrusor Myectomy

ADetrusor Myectomyis a major operation used to treating an overactive bladder with symptoms of urgency and frequency. It involves removing all or part of the outer muscle layer that surrounds the bladder.

Sacral Nerve Stimulation

Sacral Nerve Stimulationor Sacral Neuromodulation (SNM) is a device that is implanted under the skin in the upper buttock. It helps by correcting the messages that run along our nerve pathways. SNM is performed in two stages, first you will undergo an evaluation, and then, depending on your results you will be offered the implant.

Further information and downloads can be found in thehelp and informationsection. Living with a bladder or bowel condition or caring for someone with a bladder and bowel condition can affect you emotionally and socially; sometimes it can help to speak to others who understand your situation.The Bladder & Bowel Community Support Group可以在Facebook上24小时使用,让你与那些与你有相同病情的人联系。今天就开始你自己的话题,或者只关注一个你感兴趣的话题。

本页的信息仅供参考。在接受任何治疗之前,与你的全科医生或合格的健康专业人士交谈是很重要的。