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How to Control Diabetes Insipidus

Diabetes is the general medical term for a category of disorders causing increased urination.  These diseases are the result of a hormone or endocrine imbalance.  Diabetes INSIPIDUS is rare disease characterized by dangerous increase of urination due to insuficency of Anti-Diuretic Hormone, or ADH, which is produced by the hypothalimus in the brain.  This disease is not Diabetes Mellitus or excessive blood sugar.


 


 


  1. Go to the the doctor immediately if you have the following symptoms:


    • Excessive urinary output -- in excess of 5 liters of urine per day

    • Excessive thirst

    • Weakness

    • Extreme dehydration

    • Lethargy

    • Muscle pain



  2. Ask the doctor about the types of diabetes insipidus.


    • Central diabetes insipidus -- originating with the hypothalamus lowering production of ADH.

    • Nephrogenic diabetes insipidus -- originating in the kidney, due to injury, pharmaceutical side effect or interaction and disease where the kidney can no longer recognize ADH levels.



  3. Ask the doctor regarding tests for diabetes insipidus.


    • Expect to have testing scheduled over several hours possibly at the hospital.

    • Do not drink during the tests.  Blood and urine will be taken over several hours to determine ADH levels in the blood compared to urine output over time.



  4. Wait for the results of the tests.  Maintain fluid hydration.

  5. Take your medications as schedualed. Vasopression is commonly prescribed for central diabetes incipidus. Indocin and diuretics are commonly prescribed for Nephrogenic diabetes insipidus.

  6. Lower salt intake with nephrogenic diabetes insipidus.  Salt increases kidney urinary output.

  7. Drink water only when thirsty.

  8. Take supplemental potassium, vitamins and other minerals, do not exceed physical daily requirements unless instructed by a physician.

  9. Traditional Chinese Medical approach is to balance body, address autoimmune factors and to integrate with western medical treatments.