Ask the Doctor

Different types of diabetes

I want to know how many types of Diabetes exists.

Nick (by SMS)

 

Diabetes mellitus and diabetes insipidus share the first word of their name and some of the same symptoms. But that’s where the similarities end. These two diseases aren’t related. They cause different problems and have very different treatments.

Diabetes mellitus is more commonly known simply as diabetes. It’s when your pancreas doesn’t produce enough insulin to control the amount of glucose, or sugar, in your blood. Diabetes insipidus is a rare condition that has nothing to do with the pancreas or blood sugar. Instead, it happens when your kidneys produce a lot of extra pee. Normally, they filter your bloodstream to make about a quart or 2 each day. When you have diabetes insipidus, it’s more like 3 to 20 quarts, and it’s mostly water.

This dramatic loss of fluid makes you really thirsty. Though diabetes mellitus and diabetes insipidus have similar symptoms, these symptoms have different causes. With diabetes insipidus, you may feel extremely tired due to dehydration. It also may be because you’re low on electrolytes, such as sodium, potassium, or calcium, which get flushed out with all the pee. If you have diabetes mellitus, you may feel really tired when your blood sugar levels are either too low or too high.

Diabetes insipidus makes you feel very thirsty because so many fluids are leaving your body. With diabetes mellitus, you feel thirsty because of too much glucose in your blood. Your body wants you to drink more water to flush out the sugar. In diabetes mellitus, the level of glucose in your blood, also called blood sugar, is too high. Your kidneys try to remove the extra glucose by passing it in your urine. In diabetes insipidus, your blood glucose levels are normal, but your kidneys can›t properly concentrate urine. In order to know the difference between the two, you will need to see a doctor who will order the appropriate tests for you.

Dr. Wale Okediran

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