Nephrogenic Diabetes Insipidus
How is nephrogenic diabetes insipidus treated?
Nephrogenic diabetes insipidus can be difficult to treat. Since the kidneys can't respond to ADH, giving more ADH doesn't help. There's no good way to get the kidneys to respond to the ADH that's there. In fact, treatment options are limited.
If a drug like lithium is responsible, switching medicines might improve nephrogenic diabetes insipidus.
Most adults with nephrogenic diabetes insipidus are able to keep up with fluid losses by drinking water. For some people, though, the symptoms of near-constant thirst and urination can become intolerable. Some treatments can reduce the symptoms of nephrogenic diabetes insipidus, at least somewhat:
- Diet. A low-salt, low-protein diet reduces urine output.
- Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen (Motrin), indomethacin (Indocin), and naproxen (Naprosyn) also can reduce urination.
- Diuretics. It might seem paradoxical, but "water pills" like hydrochlorothiazide and amiloride can ease excessive urination from nephrogenic diabetes insipidus.
All adults and children with nephrogenic diabetes insipidus should take frequent bathroom breaks. This helps to avoid over-distending the bladder, which can cause long-term problems, though rarely.
The most important treatment for nephrogenic diabetes insipidus is to ensure constant access to lots of water. Not keeping up with fluid losses can lead to dehydration or electrolyte imbalances, which can sometimes be severe. Seek medical help if symptoms don't improve after rehydrating, eating fresh fruit, and taking a multivitamin.
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Diabetes GuideIs This Normal? Get the Facts Fast!
Answer:
0-69
70-130
131+
Your level is currently
If the level is below 70 and you are experiencing symptoms such as shaking, sweating or difficulty thinking, you will need to raise the number immediately. A quick solution is to eat a few pieces of hard candy or 1 tablespoon of sugar or honey. Recheck your numbers again in 15 minutes to see if the number has gone up. If not, repeat the steps above or call your doctor.
People who experience hypoglycemia several times in a week should call their health care provider. It's important to monitor your levels each day so you can make sure your numbers are within the range. If you are pregnant always consult with your health care provider.
Congratulations on taking steps to manage your health.
However, it's important to continue to track your numbers so that you can make lifestyle changes if needed. If you are pregnant always consult with your physician.
Your level is high if this reading was taken before eating. Aim for 70-130 before meals and less than 180 two hours after meals.
Even if your number is high, it's not too late for you to take control of your health and lower your blood sugar.
One of the first steps is to monitor your levels each day. If you are pregnant always consult with your physician.
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