Diabetes insipidus and hypernatremia
Common Questions and Answers about Diabetes insipidus and hypernatremia
diabetes
During a couple of years I have sometimes had hypernatremia (maybe dehydration), and often hypercalcemia (due to hyperparathyroidism). Maybe I have partial diabetes insipidus. I am wondering whether I could also have adrenal insufficiency. But I don't have low sodium or cravings for salt. On the contrary I don't like/tolerate salt. My S-Corsol has been normal. I don't have hyperaldosteronism.
I am 65 years old. I have had much stress and burnout in my history.
Diabetes insipidus(water diabetes) is due to a hormone lacking that helps us hold onto water, these children will urinate excessively, drink excessively, lose weight and be sick with high sodiums, there is a form due to the pituitary hormone lacking and that which is due to the kidney not responding to the normal hormone.
It does not sound like repeated fevers alone is diabetes insipidus.
Antidiuretic hormone (ADH or vasopressin) is a hormone produced by the hypothalamus and stored in the posterior pituitary gland. ADH deficiency is known as diabetes insipidus. Symptoms are frequent thirst and urination. Treatment is desmopressin (synthetic replacement for vasopressin) - taken 2 to 3 times a day.
She never mentioned anything about insulin and that's because she has Diabetes Insipidus, which she clearly stated. Diabetes Insipidus IS NOT Diabetes Mellitus.
I see you have the word 'diabetes' crossed. Diabetes is a Greek word meaning large amounts of urine. Both diabetes mellitus and diabetes insipidus fall into this realm but both are separate mechanisms.
This forum deals mostly with type 2 diabetes, people who have high blood sugar levels [mellitus]. Diabetes insipidus is kidney related. For best answers, the forum to post on is Kidney Disease & Disorders.
If the levels are so low and potassium levels are high maybe a creatinine clearance test should be done to test the condition of the kidney and rule out diabetes insipidus. CPK or creatinine phosphokinase and liver enzymes should be done if there is muscle wasting. Diabetes insipidus can also cause whole body edema. Please consult an endocrine specialist and a nephrologist. Take care!
Decreased vasopressin release or decreased renal sensitivity to vasopressin leads to diabetes insipidus, a condition featuring hypernatremia (increased blood sodium content), polyuria (excess urine production), and polydipsia (thirst).
Diabetes isn't the only thing that can cause problems. If she hit her head, an injury could have "broken" the membrane or gland (I can't remember exactly how it works) in the brain that controls proper regulation.
Does he seem to drink water constantly and cannot go anywhere without water? If so, it could be diabetes insipidus, which is VERY different than diabetes mellitis (Type 1 or Type 2).
If not, then it could be a number of things, such as an enlarged prostrate or something else impinging on the bladder and creating a sensation of needing to go, even if the bladder is empty. It could be a problem with the nerves or muscles that connect to and control the bladder.
Could both of these issues, Diabetes Insipidus and lack of growth, be something more and maybe I should bring something up at his 2 yr appt in a month? The doc does want to retest for the DS but it was hard enough not giving him anything to drink for 12 hours espcially at bedtime when he brings 2 sippy's to bed with him when he was first tested in the spring.
I guess your vet is suggesting using the DDAVP (Desmopressin) inhaler as eyedrops. From what I can tell, this stuff runs about $78 a bottle (less if you get more than one bottle).
I am kind of confused as to why you are being prescribed DAVPP for nephrogenic diabetes insipidus, because that's usually prescribed for CENTRAL Diabetes Insipidus, caused when the pituitary gland doesn't secrete enough ADH.
My diabetes insipidus is controversial. One doctor says that I have central diabetes insipidus and others, eg. the latest urologist, say that I do not have it.
Because doctors did not search the cause years ago, I think that it is not important. The condition has been intermittent for many years and thus may not be serious.
I have had only a couple of bladder infections during my 65-year life, thus infections may not be causes for it. I have uterine issues, myomas and endometrial overgrowth.
This can also be the result of diseases like diabetes mellitus and diabetes insipidus. Heart, liver and kidney failure and also certain medications cause excessive thirst.
Some people with severe acidity too develop a habit of drinking water to counteract the effect of acidity
In your case, probably chronic diarrhea has precipitated increased thirst. Chronic diarrhea can be due to parasitic infestations.
Adding a complicating wrench into everything is the fact that she was diagnosed earlier this week with Diabetes Insipidus, and has numerous issues with keeping her sodium levels under adequate control (they have been persistently in 171-176) and maintaining an appropriate fluid balance and replacing her excessively high urine output.
This can also be the result of diseases like diabetes mellitus and diabetes insipidus. Heart, liver and kidney failure and also certain medications cause excessive thirst. Some people with severe acidity too develop a habit of drinking water to counteract the effect of acidity.
You can cut down your salt, spicy and fried food intake. Avoid too much exposure to sun. Take an antacid twice a day. Eat frequent small meals. Keep a record of the water you take—do not drink more than 8-10 glasses.
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