Ask the Doctor

Diabetes and frequent urination

I want to know what causes frequent urination in diabetic patients?

Beatrice (by SMS)

 

As the glucose rises, so does your osmolality (saturation of plasma). Extracellular water will flow into the vessels carrying that syrupy plasma this creates more blood volume that the kidney can use to eliminate more glucose through the urine. This means you are dried out, so you drink more water (polydipsia) and pee more (polyurea) in the uncontrolled diabetic. However, “Controlled diabetic” rarely spills glucose sugar into the urine because most of the time, their blood sugar stays below 180.

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Dr. Wale Okediran

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