Hello,
Although patients with
diabetes are more prone to heart attacks, stroke, and
peripheral vascular disease, as well as damage to the eyes, nerves, and kidney,but there is another common complication of diabetes that gets less attention is
urinary tract infection.
Women with diabetes are about two to three times more likely to have bacteria in their bladders than women without diabetes (interestingly, the same does not appear to be true for men). There also seems to be an increased risk of the infection spreading upwards into the kidneys in diabetic patients, and diabetic women with urinary tract infections are also more likely to require hospitalization than non-diabetic women.
This occurs because of....
....Poor circulation in diabetes reduces the ability of infection-fighting white blood cells to get where they need to go.
.....Many people with diabetes also have dysfunctional bladders that contract poorly; this allows urine to remain in static pools for long periods of time, providing luxurious ponds for bacteria to grow in.
.....Increased concentration of glucose in urine decreases its anti-bacterial activity and increases the chances of
bacterial growth.
.....Prolonged
hyperglycemia results in increased adherence of disease causing microbes(E-coli )to uroepithelial cells.
TREATMENT Is....
Strict control of blood sugar levels.
Prolonged course of anti biotics after a proper culture and sensitivity
Treatment of any precipitating cause like some calculus.
Plenty of oral liquids
Control of blood pressure
Management of condition jointly by
diabetologist and a
nephrologist.
Thanks