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What Causes Frequent UTIs In A Diabetic Patient?

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Posted on Wed, 31 Aug 2016
Twitter Wed, 31 Aug 2016 Answered on
Twitter Fri, 16 Sep 2016 Last reviewed on
Question : Hi doctor.i have thrush at the moment but also keep feeling hot,sick,urinating alot,feel tired and slight pain in lower pelvis.I have type 2 diabetes and suffered with uti s alot I past which resulted in kidney stones and having kidney removed.please help.thanks
doctor
Answered by Dr. Shehzad Topiwala (26 minutes later)
Brief Answer:
Diabetes

Detailed Answer:
Sorry to learn about your bothersome symptoms.

You will need to control your diabetes well in order to allow better healing of these infections.

Regarding the other symptoms, it is important to get examined to determine the appropriate line of treatment.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:

CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
12 hour Fasting Lipid profile
Urine albumin to Creatinine Ratio (early sign of diabetes affecting the kidney)
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)

Correct diagnosis and treatment requires the opportunity to examine the patient so you must see an endocrinologist in-person.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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What Causes Frequent UTIs In A Diabetic Patient?

Brief Answer: Diabetes Detailed Answer: Sorry to learn about your bothersome symptoms. You will need to control your diabetes well in order to allow better healing of these infections. Regarding the other symptoms, it is important to get examined to determine the appropriate line of treatment. When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination: CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts) Electrolytes (Sodium and Potassium in particular) HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase) Kidney function tests (BUN, Creatinine) TSH (checks your thyroid) 12 hour Fasting Lipid profile Urine albumin to Creatinine Ratio (early sign of diabetes affecting the kidney) 25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter) Correct diagnosis and treatment requires the opportunity to examine the patient so you must see an endocrinologist in-person.