[Argetni]

Hi I was dxed 4 years ago at age 28 with diabetes type 1.5 or maybe 2, think are pretty sure 2 at this point. 6'0 240lbs at DX, about the same today, also suffer from HBP.

I was over >600 that is what the meter read at diagnosis. I did insulin for 6 weeks and have been on Metformin 500 BID for the past 4 years. Within the last week or so I have been having to urinate every hour.

Starting yesterday it is every 30 minutes with a constant urge to go. Each time I produce a large volume of urine. There is no pain. I had a urine culture and DRE done yesterday, the prostate is fine and I am waiting for results of the culture.

My blood sugar has been good 99-100 in the morning. 165 30 minutes after a meal. back to <100 2 hours later.

I think my 4 year BCG meter may be wrong though after years of use and being dropped many times. I am picking up a new one in a few hours.

What do you all think, is it the diabetes getting worse and my meter is broken, or could it be a UTI with no pain?

[princesslinda]

It is certainly possible to have a urinary tract infection and have no symptoms. Your urine culture should definitively diagnosis this if its there.

You mention that your prostate was "fine", but you could have a slight enlargement of it (BPH) which can cause you to have a lot of urgency, frequency and straining to void. There are oral medications which work well for this...also, it is possible to have a urethral stricture (narrowing of the urethra) which can make it difficult to urinate to completion or could cause a urinary tract infection. This can be easily dilated in a urologists office.

If your urine culture is normal, i'd strongly suggest you see a urologist to make sure you don't have an underlying prostate problem thats not severe enough yet to make it feel enlarged on a rectal exam. No point in experiencing discomfort if you don't have to.

Have you had a recent A1C? I'd suggest you get one, as this would definitely show if there was a discrepancy between your meter and your blood sugar levels.

[davef]

Hi and welcome to the forum.

Just before I was DX'ed last November I was suffering from frequent urination and after a while it became apparent (through discomfort) that I had a UTI, it did take some days (5-6) before the discomfort kicked in and when it became obvious I had a UTI to an untrained eye.

If you meter has had a lot of use/abuse it would be worth getting a reading from another meter and as Linda suggested an A1c.

Getting the new meter is probably a good idea.

Do let us know how you get on,

[SGT Shoutmore]

Argetni,

When someone describes polydipsia ans polyuria, the very first thing I think is elevated BG, as, when insulin is either insufficient or the patient has insulin resistance, all that glucose must go SOMEWHERE, thus Diabetes Mellitus or "Sweet siphon", that glucose is urinated out, in those extremes, DKA is also present and ketones are present in the urine.

In absence of infomation presented that indicates glucose and ketones in the urine, I can not speculate as to your diabetes is getting worse or your meter is broken.

I will offer this, metformin alone is often insufficient in meeting your body's needs for lowering blood sugar, you also have to be able to USE your blood glucose, so, you need to know what your insulin is doing if you are type 2. If type 1.5 (more type one than anything) insulin is either in very short supply or none at all by my reasoning.

Things to consider in a UTI is also output color. If this issue is the result of a UTI, I have never encountered a patient with painless UTI, for eevry patient I have observed with a UTI did the "Uti Shuffle" when they walked and report it as VERY uncomfortable, to say the least. That is not to say it is unheard of, you may have a very high pain threshold.

However, given that you have a DX of diabetes, therein is where your VERY first concern takes precidence until complications have been ruled out.

So, the matter warrants a visit to an endocriologist post haste, rule out BG >150, DKA +ketones in urine. Consider insulin therapy, rule out cellular insulin resistance, if present, consider Actos 30mg 1X or greater if necessary. Minimum scope of search should necessitate full labs.

So, in considering these things, hop on the phone with an endo, get an appointment, the sooner the better, if not soon enough, ask to be fitted in on the soonest cancelation, the sooner you are seen, the better. If these things are ruled out, than whatever else is found will warrant equal consideration, rule out prostate issues ( I won't speculate here), kidney infection? There is way too much to "Guess" on and in this regard, guessing is just not good enough. See the doc, prudence dictates it.

[Argetni]

I just got my new meter. Tested 4 hours after my last meal and BG was 88. I guess my meter was ok, and my diabetes is under control, my last A1C in Feb was 5.6.

The urination continues. I got a AZO test kit from the pharmacy and the urine tested negative for WBC or Nitrites on two seperate tests.

I am seeing the endo next Friday. I am debating making an appt with a urologist as I can not stand this peeing any more. 7 times already today since 7am.

[princesslinda]

Yes, i'd definitely suggest seeing a urologist....I work in a urology group...and your complaint of frequency/urgency is one of our most common, and usually very easily treated complaints.

Again, it be an infection, as certain types such as E. coli and Pseudomonas (2 VERY common ones), are generally asymptomatic pain-wise and respond well to antibiotics. We find a lot of these on our yearly checkups and the patient doesn't even know he/she has an infection.

Glad your blood sugars are doing so well!

[Argetni]

5:44 PM
BG was 154 on new meter , 141 on old meter.
This was three hours after eating a high carb meal, is that normal?

Still peeing like a race horse, at least 9 decent volume sessions so far, I just went and I still feel like I have to go again.

[xMenace]

Originally Posted by Argetni

5:44 PM
BG was 154 on new meter , 141 on old meter.
This was three hours after eating a high carb meal, is that normal?

Yes, allow a 15% error. They are approximations only. They could be reversed the next test on the same sample.

[SGT Shoutmore]

Originally Posted by Argetni

I just got my new meter. Tested 4 hours after my last meal and BG was 88. I guess my meter was ok, and my diabetes is under control, my last A1C in Feb was 5.6.

The urination continues. I got a AZO test kit from the pharmacy and the urine tested negative for WBC or Nitrites on two seperate tests.

I am seeing the endo next Friday. I am debating making an appt with a urologist as I can not stand this peeing any more. 7 times already today since 7am.

Wow talk about things that make ya go "Hmmmmmmmmmmm"?

Sweet Jesus, 9 times already?

Yup, urologist visit is a must. Now you've got my curiosity piqued, so, please update when you know more about what it happening.

[Argetni]

Update:

Urine culture from lab, negative for any infection.

3 Home UTI tests - negative

1 test at Urgent care today (test strip) - negative as well, they are going to send to the lab to confirm.

I still have to pee all the time and I am going to make an appoitnment for a urologist this week.

I did find a bit of redness around the opening of the urethra (pee hole), maybe that has something to do with it.

I am seeing the endo Friday and just had the lipid panel, comp metabolic panel and A1C done today for him.

BG 1 hour after a pasta and bread dinner - 154
BG 4 hours after dinner - 150

Is that high enough to be causing this kind or urine frequency?

[princesslinda]

I don't think blood sugars in the 150's would be causing that much frequency. With your symptom of urethral irritation, you may have something else going on, so its good that you'll be seeing a urologist soon to get to the bottom of your problems.

[SGT Shoutmore]

Originally Posted by Argetni

Update:

Urine culture from lab, negative for any infection.

3 Home UTI tests - negative

1 test at Urgent care today (test strip) - negative as well, they are going to send to the lab to confirm.

I still have to pee all the time and I am going to make an appoitnment for a urologist this week.

I did find a bit of redness around the opening of the urethra (pee hole), maybe that has something to do with it.

I am seeing the endo Friday and just had the lipid panel, comp metabolic panel and A1C done today for him.

BG 1 hour after a pasta and bread dinner - 154
BG 4 hours after dinner - 150

Is that high enough to be causing this kind or urine frequency?

As much as you're wizzing, I have no doubt your urethra is inflamed! Holy snikies!

Is it normal for you to have polyuria with BG's >150? Maybe it is for YOUR body, I'll keep the jury OUT on this one until you see the urologist. What is your endo saying?

[Argetni]

Originally Posted by SGT Shoutmore

As much as you're wizzing, I have no doubt your urethra is inflamed! Holy snikies!

Is it normal for you to have polyuria with BG's >150? Maybe it is for YOUR body, I'll keep the jury OUT on this one until you see the urologist. What is your endo saying?

I saw the urologist today. He found trace amounts of blood in the urine and he felt that my prostate was a little large for sombody my age. He diagnosed it as "prostatitis" and gave me Cipro 500 BID for 21 days. I also am having a ultrasound of the kidneys and bladder to rule out diabetic neuropathy, I get to go back in 1 month and have the prostate "checked" again. HE said the urethral infamation was a touch of "urethritis".

In 6 days I have had two fingers in my butt and that is two too many! I also has my penis inspected and my testicles fondled! And just to think insurance paid for it all, if only Elliot Spitzer knew of this!

Before the urologist appointment today I got a call from the other doctor who said sorry we were wrong and you lab results do show a UTI

So that is the story so far.

[Argetni]

I have an appointment with the endo this Friday. The joy of a 2.5 hour wait for 5 minutes of small talk

I am curious to see what my bloodwork shows.

[Argetni]

Originally Posted by Argetni

I have an appointment with the endo this Friday. The joy of a 2.5 hour wait for 5 minutes of small talk

I am curious to see what my bloodwork shows.

A1C was 6.0, he spent 2 minutes with me and said to come back in three months.

I had quit taking Tricor 145mg a month or so ago and my tris went from 380 to 529 so he gave me a script for a cheaper med.

Still peeing often...