diabetes type 2 and nightime urination?

Question

does anyone else have the problem of getting up during the night. My fluid intake before bedtime is minimal. Am newly diagnosed and believe that diabetes could be the culprit in disturbing my sleep even as much as three to four times a night. I must add that my diabetes is very well controlled. Would appreciate comments. Many thanks

Answer 1

Hello...I'm an internist so I treat patients with similar complaints on a daily basis...First, if your sugars are well controlled as you say then I would speculate that your nighttime urinary complaints may not necessarily be related to your diabetes...They still could be in the sense that nerve endings can be damaged in diabetes and this could affect normal bladder function. This is usually seen in longstanding poorly controlled diabetes. Sugars have to typically be very high to cause frequent urination by itself..This is typically associated with extreme thirst as well..

Second, You could simply have a bladder condition for other reasons...Examples include overactive bladder, Prostate enlargement (men) and chronic low grade urinary tract infections...

My advice...Have your urine checked along with a culture and decide with your physician whether some medical therapy may be helpful in alleviating your problem...

Take care
DR J

Answer 2

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Answer 3

My diabetes is also very well controlled (my last three A1Cs were 5.1 (yes!), 5.7, and 5.3 and it is a rare occassion that I sleep through the night without getting up to urinate. This never happened before being diagnosed and put on meds however every three months when we do my blood work (A1C, etc.) my doc does a kidney test and says that all is normal. I am instructed to tell her if the "need to go" increases in urgency or frequency.

If you are not already doing a kidney test (there a couple) when you do your bloodwork, you should definately ask for it.

For more info on Diabetes related kidney issue, please see more info from the National Kidney Foundation.

http://www.kidney.org/news/newsroom/fsitem.cfm?id=14

Answer 4

when you have diabetes 1 or 2 your body has problems using the glucose and the best way to get rid of it is through urination. it doesn't matter the amount of liquid you take your kidneys in general are working overtime to get rid of this excess. that is why kidney complications are common in diabetics. I asked the same question to my doctor and she mentioned that increasing my fluid intake wouldn't hurt. I am diabetic type 2 just like you and I am under control and still have the same problem.

Answer 5

It's probably the diabetes. I'm type 2 and go quite often. I also drink a lot of water. I can't find any material documenting frequent urination due to diabetes though. Congratulations on having the diabetes well controlled.

Answer 6

Recent diagnosis you might want to talk to your doctor.

I had a lot of problems , and still do , in getting an accurate finger stick reading . I rely on the a1c test.

You doctor might get you to pee into a bottle when you need to go overnight . He can then do a urine test to see whats happening.

A sign of good blood sugar control is NOT having to pee during the night .

Answer 7

r u 120 or less? if not your control is not good....and that would explain your kidneys working over time to get rid of the excess sugar in them....after 19 yrs being diabetic 2 my kidneys r failing....so please try to keep a tight control on your numbers....this disease is no joke,,,,anymore questions e mail me.....would love to talk.....

Answer 8

You need to set an alarm every 2 hours and see what your sugars are doing overnight.

Answer 9

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