{"id":9049,"date":"2015-11-06T23:17:37","date_gmt":"2015-11-06T15:17:37","guid":{"rendered":"http:\/\/www.intimina.com\/blog\/?p=9049"},"modified":"2020-08-27T09:09:24","modified_gmt":"2020-08-27T07:09:24","slug":"diabetes-incontinence-treat","status":"publish","type":"post","link":"https:\/\/www.intimina.com\/blog\/diabetes-incontinence-treat\/","title":{"rendered":"Diabetes and Incontinence \u2013 Why and How to Treat it"},"content":{"rendered":"<p style=\"font-size: 14px; font-weight: bold;\"><em>This article was medically fact-checked by <a href=\"#drscroll\">Consultant Obstetrician and Gynaecologist Dr. Shree Datta<\/a>.<\/em><\/p>\n<p><span style=\"font-weight: 400;\">Approximately 13 million American women have diabetes and they experience many challenges, but one of the more inconvenient side effects is an increased risk of urinary incontinence. Even though women with diabetes have up to a 70% increased risk of developing incontinence, it remains one of the more difficult topics for women to discuss, so many suffer in silence \u2013 but you don\u2019t have to!<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The first step to reducing frequent urination is to work with your doctor to get your blood sugar under control and understand how diabetes is affecting your body. This requires seeking early expert advice, but there are also simple solutions you can start right now to get relief and reduce how often the urge strikes.<\/span><\/p>\n<h3><b>How Diabetes Can Lead To Incontinence<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">First, it\u2019s important to understand the ways diabetes contributes to incontinence.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><b>Blood sugar. <\/b><span style=\"font-weight: 400;\">Regardless of whether you have type 1 or type 2 diabetes, your blood has an <\/span><a href=\"https:\/\/www.webmd.com\/diabetes\/how-sugar-affects-diabetes\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">excess amount of glucose<\/span><\/a><span style=\"font-weight: 400;\">, or sugar, in it. The excess blood sugar impacts kidney function and pulls fluid from your tissues, making you feel thirsty and causing you to drink more \u2013 which leads to more urination.<\/span><span style=\"font-weight: 400;\">\n<p><\/span><\/li>\n<li style=\"font-weight: 400;\"><b>Obesity. <\/b><span style=\"font-weight: 400;\">Up to 90 percent of patients with type 2 diabetes are also considered to be obese.\u00a0 Alongside many other challenges, being overweight and obese can also contribute to weaker bladder control because it puts pressure on your bladder and your pelvic floor. <\/span><\/li>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/www.intimina.com\/blog\/pelvic-floor-disorders-need-know\/\"><span style=\"font-weight: 400;\">Excess weight on your pelvic floor<\/span><\/a><span style=\"font-weight: 400;\"> makes it more difficult for these muscles to support your bladder and your urethra, leading to leaks. Managing weight loss through healthy lifestyle changes can potentially help with urinary incontinence.\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\"><b>Decreased feeling.<\/b><span style=\"font-weight: 400;\"> Diabetes can lead to <\/span><a href=\"https:\/\/www.emedicinehealth.com\/diabetes_mellitus_type_1_and_type_2\/article_em.htm\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">damage to the autonomic nerve system<\/span><\/a><span style=\"font-weight: 400;\">, which controls the internal organs and bodily functions we don\u2019t consciously control. Damaged nerves can lead to decreased feeling in or send the wrong signals to the bladder, so you can sometimes have that \u201cI need to go!\u201d feeling either too late or too often.<\/span><\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\"><b>UTI\u2019s.<\/b><span style=\"font-weight: 400;\"> Diabetes can also interfere with the immune system, putting you at <\/span><span style=\"font-weight: 400;\">greater risk of urinary tract infections<\/span><span style=\"font-weight: 400;\"> or UTI\u2019s. UTI\u2019s can cause pain and an intense, sudden need to urinate. Fortunately, they\u2019re treatable, but women with diabetes tend to have an increased likelihood of repeated infections. Staying well hydrated helps to prevent UTI\u2019s, as does completely emptying the bladder when peeing &#8211; this is called complete voiding. <\/span><span style=\"font-weight: 400;\">\n<p><\/span><\/li>\n<li style=\"font-weight: 400;\"><b>Medication. <\/b><span style=\"font-weight: 400;\">Unfortunately, some <\/span><a href=\"https:\/\/www.continence.org.nz\/pages\/Diabetes-and-Bladder-and-Bowel-Control\/127\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">medications<\/span><\/a><span style=\"font-weight: 400;\"> prescribed to those with diabetes can sometimes cause issues with urination. Ask your provider to review any medications you\u2019re on, to help treat urinary symptoms.\u00a0<\/span><\/li>\n<\/ul>\n<h3><b>How You Can Manage Frequent Urination<\/b><\/h3>\n<p><b>Work with your doctor to control your diabetes<\/b><\/p>\n<p><span style=\"font-weight: 400;\">One of the best ways of managing diabetes-related incontinence is to work closely with your doctor to control your blood sugar and find medications and dosages that will work best for your body and avoid leaks. But in the meantime: do not restrict your water-intake. It\u2019s very important to stay hydrated, especially if you have diabetes.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">You might worry it will increase leaks, but your body needs water to replenish your bodily fluids, and drinking less water may irritate your bladder and make incontinence worse. It may also be helpful to change what you\u2019re eating and drinking, as some <\/span><a href=\"https:\/\/www.intimina.com\/blog\/prevent-leaks-food\/\"><span style=\"font-weight: 400;\">foods are linked to incontinence<\/span><\/a><span style=\"font-weight: 400;\">. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">For example, alcohol and caffeine are natural diuretics, which can stimulate the need to urinate<\/span><i><span style=\"font-weight: 400;\">.<\/span><\/i><\/p>\n<p><span style=\"font-weight: 400;\">If you\u2019re not ready to cut out caffeine, try just drinking it in the morning, while buffering it with hydrating liquids.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">While working with your doctor to tackle the underlying issues with diabetes you can also start managing your bladder issues directly.\u00a0 For best results, talk to your doctor about the different options to see what works best with your treatment.<\/span><\/p>\n<p><b>Strengthen your pelvic floor with Kegel exercises\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Help your pelvic floor help you! Exercising your pelvic floor regularly using Kegel exercises helps build up the strength of those muscles that might have been strained by additional weight gain caused by diabetes. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">A stronger pelvic floor will help support your bladder and give you better control when you feel the urge. But it\u2019s important to make sure you\u2019re doing each exercise properly so check out <\/span><a href=\"https:\/\/www.intimina.com\/blog\/8-kegel-mistakes\/\"><span style=\"font-weight: 400;\">this article<\/span><\/a><span style=\"font-weight: 400;\"> to ensure you have proper technique.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Once you know how to do a proper Kegel it\u2019s important to make sure you\u2019re doing the right routine for you every time you exercise. The best way to ensure that you\u2019re getting the most out of your routine is to use a smart <\/span><a href=\"https:\/\/www.intimina.com\/kegel-smart\"><span style=\"font-weight: 400;\">Kegel exerciser<\/span><\/a><span style=\"font-weight: 400;\">. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">The best exercisers not only register your pelvic strength throughout each session, but also automatically select and guide you through a routine tailored to your strength level. That way you know that you are getting the best possible workout for your particular needs.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Seeing a physiotherapist can also help you in strengthening your pelvic floor, and urinary muscles. Physiotherapists are like personal trainers for your pelvic floor! They may ask you to keep a symptom diary to track your progress, although this is something you can do on your own as well.\u00a0<\/span><\/p>\n<p><b>Retrain your bladder to restore proper function.<\/b><\/p>\n<p><span style=\"font-weight: 400;\">You can help your bladder \u201crelearn\u201d its normal function by scheduling bathroom visits at regular intervals throughout the day \u2013 this is called <\/span><a href=\"https:\/\/www.webmd.com\/urinary-incontinence-oab\/bladder-training-techniques\"><span style=\"font-weight: 400;\">bladder training<\/span><\/a><span style=\"font-weight: 400;\">. You can start with scheduling visits a short time apart and gradually increase the time between as your body becomes accustomed to waiting. Don\u2019t worry if you leak a bit between visits \u2013 your body has to learn your new schedule, and it might take some time.<\/span><\/p>\n<p><b>Suppress the urge to urinate with simple exercises\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">While you\u2019re retraining your bladder, you can use urge suppression exercises to regain control and manage the sudden, urgent need to urinate. When you feel the need to urinate, remain still, breathe deeply and contract and relax your pelvic floor muscles rapidly a few times. At the same time, find something to do to distract yourself, such as checking your Facebook, sorting your inbox, or texting.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Incontinence can be irritating, embarrassing and inconvenient, but it\u2019s important to remember that many women are facing the same issue. These solutions are a great way to start managing your urination issues but in the long term, the most important thing you can do to reduce incontinence is manage your blood sugar levels.\u00a0 <\/span><\/p>\n<p><span id=\"drscroll\" style=\"font-weight: 400;\">Keeping blood glucose in check will not only reduce the frequency and severity of incontinence but many of the other complications associated with diabetes as well. With some simple exercises and support from your physicians and loved ones, you can conquer incontinence and the other symptoms of diabetes, and live a healthy, active life.<\/span><\/p>\n<div class=\"drstamp\" style=\"margin-bottom: 10px; background-color: #fff5f7; padding: 20px 20px 5px 20px;\">\n<h3 style=\"padding-bottom: 10px;\">Facts checked by:<\/h3>\n<h3 style=\"color: #ed008c;\"><strong>Dr. Shree Datta<\/strong><\/h3>\n<p><img decoding=\"async\" class=\"alignleft wp-image-28100\" style=\"padding-top: 5px;\" src=\"https:\/\/www.intimina.com\/blog\/wp-content\/uploads\/2020\/05\/3LQ6bY-L_400x400.jpg\" alt=\"Dr. Shree Datta\" width=\"110\" height=\"96\" \/><\/p>\n<p style=\"font-size: 14px;\">Dr. Shree Datta is a Consultant Obstetrician and Gynaecologist in London, specialising in women&#8217;s health including all menstrual problems such as fibroids and endometriosis. Dr. Shree is a keen advocate for patient choice, having written numerous articles and books to promote patient and clinician information. Her vision resonates with INTIMINA, with the common goals of demystifying periods and delivering the best possible care to her patients<\/p>\n<p style=\"font-size: 14px;\"><strong><a href=\"https:\/\/www.themedicalchambers.com\/find-a-clinician\/ms-shree-datta\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">Medical<\/a><\/strong> | <strong><a href=\"https:\/\/uk.linkedin.com\/in\/shree-datta-10320327\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">LinkedIn<\/a><\/strong> | <strong><a href=\"https:\/\/twitter.com\/drshreedatta\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">Twitter<\/a><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>This article was medically fact-checked by Consultant Obstetrician and Gynaecologist Dr. Shree Datta. Approximately 13 million American women have diabetes and they experience many challenges, but one of the more&hellip;<\/p>\n","protected":false},"author":19,"featured_media":17278,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false},"categories":[6],"tags":[87,143],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.12 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Diabetes and frequent urination \u2013 why it happens and how to manage it<\/title>\n<meta name=\"description\" content=\"Why does diabetes cause frequent urination? 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