The Risk Of Uti In Type 2 Diabetes Mellitus
All types of UTI are more frequent in patients with type 2 diabetes. Various studies have reported the overall incidence of UTI among these patients. An observational study of all patients with type 2 diabetes in the UK general practice research database found that the incidence rate of UTI was 46.9 per 1,000 person-years among diabetic patients and 29.9 for patients without diabetes.24 Women with previously diagnosed diabetes had a higher risk of UTI than those with recently diagnosed diabetes .24 A cohort study of over 6,000 patients enrolled in ten clinical trials found an incidence rate of 91.5 per 1,000 person-years in women and 28 per 1,000 person-years in men, and a cumulative incidence of 2% during 6 months.25 A recent American study performed on a health service data base with more than 70,000 patients with type 2 diabetes found that 8.2% were diagnosed with UTI during 1 year .22 Another American database study from 2014 found that a UTI diagnosis was more common in men and women with diabetes than in those without diabetes among 89,790 matched pairs of patients with and without type 2 diabetes mellitus.26
In men, risk of acute bacterial prostatitis, prostatic abscess, progression to chronic prostatitis, and infections following prostatic manipulations, such as trans-rectal prostate biopsy, is increased in patients with diabetes mellitus.36,37
Healthy Steps: Urinary Tract Infectionsfirst Steps
For the greatest improvement with the fewest steps, do the following:
- Stop eating all sweeteners. Sugar impairs the bodys ability to fight infection. The worst sweets are likely to be those with high-fructose content such as soft drinks.
- Pure Encapsulations D-Mannose Powder. Take 1 teaspoon and 1/2 to 1 teaspoon three to four times daily. Continue for two to three days after symptoms have disappeared.
- Urinate fully to clean out the bladder. Urinate whenever you have the urge, or after any time you have pressure against the urethra, and be sure its a generous and well-diluted urination.
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Why Would Sugar Make A Difference With Incontinence
It may sound crazy, but what you eat has a big effect on how your bladder behaves. While its different for everyone, there are many foods that can irritate the bladder. These include things like acidic foods , caffeine, and yes, even sugar. Sugar can stimulate the bladder, causing sudden urges, which may lead to leaks. Even natural sugars, like honey, or artificial sweeteners can cause this irritation.
And, lets be honest. Besides just the effect on your bladder, you probably know that sugar is not great for you anyway. It can indirectly lead to number of other conditions, which consequently, may then lead to incontinence.
Too much sugar may lead to more frequent urinary tract infections, a condition that sometimes causes short-term incontinence. The bacteria that cause UTIs love sugar. Sugar makes the acid level of your urine higher, creating a better environment for this bacteria, and causing the infection to grow more quickly.
Eating too much sugar can also lead to weight gain, which places extra strain on the pelvic floor muscles and can cause incontinence. It may also lead to diabetes, a condition where your body has a hard time processing the glucose in your body, causing potentially high blood sugar levels. These high levels of blood sugar can cause a condition called diabetic neuropathy, specifically, neurogenic bladder, which depending on the nerves affected, may cause a bladder to be under or overactive.
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Drink Plenty Of Fluids
Drinking water can encourage urination, which helps flush bacteria out of the urinary tract. Your NYU Langone doctor may recommend drinking more water than you typically do.
Some studies have shown that certain substances in cranberries can prevent bacteria that cause a UTI from adhering to the bladder wall. As a result, your doctor may recommend taking cranberry extract supplements or drinking concentrated cranberry juice regularly.
How Is It Possible To Have Too Much Sugar In Your Urine
You go to the doctor. He advises you to take a test that measures how much glucose you have in your urine.Or youve been naughty and bought a test online that lets you measure glucose in your urine yourself. And this is how you find out that you have too much.Naturally, you ask yourself why this is a bad thing.Now, I assume youre smart enough to discuss this with your doctor, who may do some follow-up tests to find out what the actual cause is because I cant look into your body from behind my computer. You need a doctor for that.However, if you have diabetes because a test shows that you do, and you still have sugar in your urine despite your efforts to do something about it then I have several answers for you.
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How Common Are Urinary Tract Infections
Urinary tract infections are very common. They are prevalent in almost 1 out of 5 women, at least once in their lifetime. They can also happen to older adults, men, and children, and are not just limited to women. Statistics show that 1-2% of children also develop these infections. Approximately, 8 to 10 million doctor visits happen due to UTIs.
What About Sugar And Dairy
According to the American Urological Association, to maintain a healthy bladder, it may also be beneficial to cut back on your intake of added sugars and refined carbohydrates like:
The risk of consuming too much sugar is greater for certain people. In particular, Sugar can increase the risk of UTIs mostly in patients who and are prone to elevated urine and blood sugar levels, Bellin says.
The reason? When there is a high level of sugar in urine, UTI-causing bacteria can grow more easily, per the National Kidney Foundation. Bacteria need nutrients to survive, and sugar can be used as a nutritional source, Bellin says. In other words, dont give the bacteria something to munch on.
Besides the potential for excess sugar to contribute to UTIs in people with diabetes, no one food or type of food will directly cause a UTI, including dairy products like milk or cheese. However, Bellin notes that people who are lactose intolerant and still consume dairy despite the havoc it wreaks on their digestive system may be slightly more at risk for developing a UTI.
If someone is lactose intolerant, dairy can cause more diarrhea and GI issues, which in turn will increase chances that GI flora can get into the urinary tract and cause an infection, Bellin says.
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Other Ways To Prevent Some Utis Coming Back
If you keep getting a bladder infection , there is some evidence it may be helpful to take:
- D-mannose a sugar you can buy as a powder or tablets to take every day
- cranberry products available as juice, tablets or capsules to take every day
Speak to your doctor before taking any of these during pregnancy.
Be aware that D-mannose and cranberry products can contain a lot of sugar.
If youre taking warfarin, you should avoid cranberry products.
Page last reviewed: 22 March 2022 Next review due: 22 March 2025
Are Frequent Utis A Sign Of Diabetes Or Is A Uti A Symptom Of Diabetes
A review from 2005 found that an astounding 50% of people with diabetes have some type of dysfunction of their bladder- thats half of every man and woman with diabetes. There are quite a few theories which we have already discussed, but again, most of the newer theories and research have only been conducted on rats.
Another fact this review highlights is that women who have Type 1 diabetes have a higher risk for kidney infections , which can potentially damage the kidneys function long term. This may lead to the need for a kidney transplant as the damage becomes severe.
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Kidney Infection Symptoms And Complications
Typically, the infection causes painful urination . This discomfort may also be followed with other symptoms such as:
The symptoms can develop quickly, within a few hours. Kidney infection can be serious and should not be left untreated the treatment is necessary!
With quick and appropriate treatment, it should be harmless and doesnt pose to other health risks, though it often makes patient feel very unwell. If the infection is left untreated, it can be potential to cause serious complications such as:
Does Cranberry Juice Prevent A Urinary Tract Infection
There is no definitive evidence on UTI treatment that can prove with certainty that cranberry juice would be effective in treating UTIs. However, it is important to drink a lot of fluids in case there is a history of getting a UTI. Unsweetened cranberry juice may not be a proven treatment or preventative factor, but may not cause any harm either.
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Foods That Are Recommended When Suffering From Uti
Some foods are extremely beneficial for easing the symptoms and even preventing the occurrence of UTI. Most of these are common foods that you probably have in your pantry right now almond, white meat, pumpkin oil, beets, eggs, barley coffee, yogurt, coconut, nettle, leafy vegetables, lentils, hazelnuts, legumes, olive oil, carrots, nuts, trout, seeds, fresh cow cheese, grapes, and water.
Complications Of Urinary Tract Infections
Urinary tract infections are an extremely common condition, and most people recover quickly with antibiotic treatment. However, if left untreated the infection can spread throughout the urinary tract system, increasing in severity and causing complications.
In some cases, the infection can reach the kidneys in the upper urinary tract, an infection known as pyelonephritis. Without medical intervention, this can lead to permanent kidney damage. Possible complications from untreated UTIs include:
- Formation of abscesses within or around the kidneys
- Swelling of the kidneys, also known as hydronephrosis
- , also known as blood poisoning
All of these complications are serious and require immediate medical attention.
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Youve Got A Cold The Flu Or Allergies
You may be tempted to curse your seasonal sneezes, a cold, or the dreaded flu for making your life even more miserable with a UTI, but these ailments arent the cause. The meds you take to manage symptoms could be.
Though theyre the bomb at keeping your runny or stuffy nose in check, antihistamines and decongestants might make you go less by causing urinary retention. And see No. 6 that may lead to a UTI.
Feline Urinary Tract Infection
Written by: Dr Laura McLain Madsen DVM
Cats with diabetes are prone to urinary tract infections , but non-diabetic cats are also at risk. Symptoms of a UTI include the cat urinating in the house , straining to urinate, frequent urination, licking the genital area, and blood in the urine. However, some cat urinary infections will only cause vague symptoms such as decreased activity level, loss of appetite, or vomiting.
Because diabetes suppresses the immune system, diabetic cats are more susceptible to various infections. Bladder infections are common, because the body dumps excess glucose into the urine, where it provides an energy source for any bacteria present.
Its important to promptly diagnose and treat feline UTIs, not only for the cats comfort but also because the inflammatory response interferes with the bodys use of insulin. An untreated urinary infection in a diabetic cat can lead to deregulation of the diabetes, diabetic ketoacidosis , pyelonephritis and serious illness.
If a bladder or kidney infection is confirmed, your veterinarian will prescribe antibiotics. Usually antibiotics are continued for six to eight weeks . The ideal antibiotic will depend on the sensitivity results, but commonly used are amoxicillin/ clavulanate , orbifloxacin and marbofloxacin . The urine culture will be rechecked following completion of antibiotics.
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Are There Other Conditions That May Seem Like A Uti
We encourage women with urinary symptoms to be seen in the office to confirm the diagnosis. Urinary infections are sometimes mistaken for other conditions and vice-versa. Conditions that cause similar conditions include:
- Vaginal infections are usually characterized by discharge, irritation, itching, and/or odor, but burning on urination is occasionally the only symptom.
- Genital herpes can cause burning with urination.
- Ovarian cysts can cause lower abdominal pain.
- Bladder stones can sometimes cause blood in the urine.
With the exception of women who have already had numerous culture-proven UTIs, women who have symptoms suggesting a UTI should be seen in the office to rule out other causes for their symptoms.
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Be Careful About Hidden Sugars
When I talk about sugar, it’s not just the sugar in your tea or on your cereal, but hidden in the ingredients of things like yoghurt, pasta sauces and baked beans. It also refers to products made from refined flours, cakes and pastries of course, but also white bread and pasta. My best advice is to eat whole grains and lots of veggies, and to always read the label on packaged food and look out for hidden sugars!
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Treatment Recommendations For Uti In Diabetes According To Infectious Diseases Society Of America
10.1.1. Acute cystitis management in patients with type II diabetes
Acute cystitis treatment should be tailored according to culture results, if obtained. Apart from proper glucose control, one of the following UTI treatments is mandatory for acute cystitis management . First line treatment management : Nitrofurantoin 100 mg three times daily for 5 days or fosfomycin trometamol 3 g single dose, or trimethoprim-sulfamethoxazole 960 mg twice daily for 3 days . Second line management : Quinolones and -lactams.
10.1.2. Pyelonephritis management in patients with type II diabetes
Hospitalization should be done for the patients with severe symptoms for initial intravenous antibiotic therapy . Empiric antibiotics treatment: broad-spectrum cephalosporins, aminoglycosides, fluoroquinolones, piperacillin-tazobactam, or carbapenems should be started . Severe sepsis presenting patients or those known to harbor-resistant uropathogens or the patients who have received multiple antibiotic courses should receive broad-spectrum coverage, guided by current urinary culture report. Treatment should be tailored when culture reports are available.
Is Yogurt Good For Dogs With Uti
Supplementation with B vitamins and antioxidants in times of stress, as well as offering cooling foods such as raw fruits, vegetables, and yogurt to reduce the symptoms of urinary tract infection. Foods that are known to aggravate UTIs include asparagus, spinach, raw carrots, tomatoes, and dairy products.
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Youre Using Certain Methods Of Birth Control
When it comes to UTI prevention, not all birth control methods are created equal. Luckily, only one method is associated with UTIs: a diaphragm.
Because of where the diaphragm sits, it puts pressure on the urethra, which might lead to an increased risk, says Minkin. The good news? There are plenty of other great birth control options.
Best For Senior Cats: Blue Buffalo W+u Weight Management + Urinary Care Wet Food
Key Ingredients: Chicken, chicken broth and liver, pea protein, potatoes, whitefish, carrots, cranberries | Calories per Serving: 68 | Balance: Crude Protein min. 8.5%, Crude Fat min. 2.5%, Crude Fiber max. 4%, Moisture max. 78% | Life Stage: Adult, senior | Texture: PatÃ©
Manages two problems with one food
Obesity can be a problem for senior kitties who become less active as they age, especially for indoor only cats and those with health problems that sap their energy or reduce their mobility. Since some urinary problems are more common in senior, overweight and/or obese cats, it makes sense to consider a food that provides ideal levels of fat, calories, and fiber to help your cat manage its weight as well as controlled mineral levels to keep urine pH lower to prevent crystal and stone formation.
Blue Buffalo W+U Weight Management and Urinary Care canned wet food is an excellent choice carried by many veterinarians. With chicken as the first ingredient, this food also has added plant fiber in the form of powdered cellulose so your cat will feel fuller despite being a lower calorie food. Levels of magnesium and sodium are controlled to promote balanced urinary pH.
Blue Buffalo reports that its science-based formulas are developed by a team of PhD animal nutritionists, food scientists, and veterinarians.
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Why Do Women Get Urinary Tract Infections More Often Than Men
Women tend to get urinary tract infections more often than men because bacteria can reach the bladder more easily in women. The urethra is shorter in women than in men, so bacteria have a shorter distance to travel.
The urethra is located near the rectum in women. Bacteria from the rectum can easily travel up the urethra and cause infections. Bacteria from the rectum is more likely to get into the urethra if you wipe from back to front after a bowel movement. Be sure to teach children how to wipe correctly.
Having sex may also cause urinary tract infections in women because bacteria can be pushed into the urethra. Using a diaphragm can lead to infections because diaphragms push against the urethra and make it harder to completely empty your bladder. The urine that stays in the bladder is more likely to grow bacteria and cause infections.
Health Check Certified By: Patty Weasler, RN
Bladder stones, which are also referred to as vesical calculus or cystoliths, most often occur when the bladder isnt completely emptied, and the minerals in the remaining urineknown as concentrated urinecrystallize into hard masses.
There are a variety of factors that may cause this to happen, which well soon explore, but struggling with emptying the bladder isnt the only reason stones can occur. In some cases there may be an underlying medical condition or infection that is contributing to their formation. Read on to learn more about the most common causes and risk factors of this condition.