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dancoy2000

Frequent Urination

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HELP!....I am a type 2 and I take Metformin....1000mg in AM and 1000mg in PM....blood sugar has been around 160 for past three months....

 

the past week, I noticed that I have been urinating much more and as soon as I finish, I feel like I have to go again.

 

Because of this, I went to the clinic yesterday and the Doctor just increased the Metformin by another gram...2000mg in the AM and 1000Mg in the PM....

 

Today, I have urinated probably 50 times....checked my sugar after taking the AM Metformin and it was 154....181 after a lunch (can of black eyed peas and small potatoes)....and 134 after the 6pm Metformin....

 

I still have to urinate about every 10 minutes....of course drink a lot of water because I am getting dehydrated!

What can this be and what should I do?

 

Thanks for the advice!

Dan

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Hi Dan, welcome! One of my first symptoms that my blood sugar is high is frequent urination.

 

You'll find when you blood sugars normalize, so will your frequency.

 

How is your diet? Are you checking you blood sugars often to see how different foods affect it?

 

Remember, it can take metformin a few weeks before you see the best results. Metformin works by helping your body better use the insulin you're making; it works best in combination with exercise and a lower-carb diet.

 

Post often, you've found a great place for support.

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hummm....that is just the problem...I have been taking Metformin for about a year now....this is a new thing....sugars have been high for the entire year.....

 

The frequent urination has only been for about a week. The increase of Metformin has not had any effect (like the doctor said it would)

 

my sugar has been low for me (134) and yet I have to go every 10 minutes!

 

Looks like a great place to learn...thanks for your fast reply...I am thinking of going to the Emergency Room, even though I cant afford it!

 

Dan

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Dan, If you check on the side of that can of black eyed peas & potatoes & see how many carbohydrates are in each serve & how many serves there are in the can.

You might find that this could be your problem..just too many carbs.

I hope you become a regular member on df as it's a great place to learn & be with careing people

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Black-eyed peas and potatoes? Sounds like kryptonite to me.

 

Try the "brown and green" diet for a week or two and see what happens. It's what I resort to when I want drastic improvement.

 

What is it? Typical meal would be a nice big chunk of say boneless short rib and a full can of string beans with a large pat of butter. Add a cold glass of hisbiscus drink and it's quite a satisfying meal. You'll be amazed at the subsequent numbers.

 

If you eat like that for a few days (meat and low-carb green stuff), your numbers should come down. Good chance you can chuck the Met, too.

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I mirror what everyone else here says... I would bet good money that if you drop your carbs to less than 50g per day (which isn't easy.... it'll take quite a bit of effort and looking at food labels) your problem will go away.

 

If you are running in the 160s, that is not good control at all -- so you are going to see the classic symptoms of diabetes. Frequent urination, vision will start getting cloudy, etc leading to the really bad complications.

 

Try low carbing for a few weeks, keep measuring your blood sugar, and see where you end up.

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It does sound like a carb issue!

 

I hope you find something that works...peeing that much is downright uncomfortable! :)

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Between your levels and the onset I don't think this is caused by your diabetes from the symptoms you are describing. You should see a doctor because this sounds much more like a prostate or bladder problem to me. This is not something diet is going to fix.

 

As an aside; are you really taking 3000mg of Metformin a day because I think that is over the maximum recommended dose.

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With that much urination I would definitely get my potassium levels checked regardless of reason.:toilet:

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Without a doubt the frequent urination could well be related to you high BG levels, however one other thing to consider is a kidney infection. I mentioned this a friend of mine, not diabetic, just went through something very similar to what you are experiencing.

 

Are you experiencing an unquenchable thirst along with the frequent urination?

 

No matter the cause, make sure to stay hydrated. As other have mentioned, you can help reduce your BG by watching your carb intake, it could take a bit of time for the additional Metformin to kick in.

 

If there is no let up in the urination, then I think it would be wise to see your Doctor again.

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thanks guys....no let up and I think I agree that I need to go see a doctor....probably go to the emergency room so that I can have test done all at once...

 

I do have an unquenchable thirst and now am getting pain in my lower back....plus I woke this morning with a headache, which is probably due to dehydration.

 

I'll let you know what I find out, and thanks for the support.

 

Dan

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Dan,

 

As you have the thrist, then my guess would be High BGs and not kidney infection, but I'm not a Doctor.

 

Seeking professional medical advice is they way to go, try drink plenty of fluids.

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thanks guys....no let up and I think I agree that I need to go see a doctor....probably go to the emergency room so that I can have test done all at once...

I think that is the right thing to do. Everyone is different but levels around 160 simply aren't high enough for the issues you are describing. That is an A1c of about 7.2 according to the ADAG.

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You might want to see a urologist. An enlarged prostate can also cause the frequent urination. Prostatitis can also mimic a urinary tract infection.

 

The ER is likely to do a urinalysis then refer you to a urologist or your regular doctor. I've found unless you're having a major emergency, you'll get further at your regular doctor.

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Hi Dan!!.... Princess Linda is on the right track!! You may want to see a urologist...

I also had problems with urinary issues ...I'd go and a few minutes later feel like I had to go again....figured it was prostate issues and tried dealing with it..

Finally, I was not sleeping at nite,getting up at all hours every few minutes,trying to empty out and pacing back and forth like a caged tiger.

Ended up in emergency room twice(a few days apart) and they said bladder infection and sent me home with antibiotics..

Well I was getting worse and my leg was starting to swell.

We have no health insurance and live in a rural farm community...My wife picked out a urologist (about 3 listed) from our yellow pages and found a Dr.,a urologist(about 30 minutes away)..

Before he did anything, he looked at me and said my diabetes was causing the issues- I didn't even know I had Diabetes.....

He used a catheter on me and got about a gallon of urine that I had been carrying around inside me for who knows how long....I always wondered why I heard a slushing sound inside when I walked around....

He told me I had the diabetes for years and that it had damaged my bladder's ability to squeeze and know when I was done urinating....that's why I always felt the need to go and it was backing up instead of emptying out completely....

He put a catheter in me for a about 2 months so my bladder could go on vacation and rest....I thought when i went back that I was good to go....

Unfortunately, the dr. said (in a matter of fact , frank tone) ...It's like losing your leg in a car accident....you will not grow back a new one!! So he told me I would be self-cathing,the rest of my life....I was pretty devastated and didn't think I'd be able to handle it. The Dr. said once you do it long enough, it's like putting your pants on in the morning.

 

Well it is like old hat now.....it's no biggie and i don't have to carry a bag around with me.. I still urinate a lot on my own , but the self cathing gets the rest my bladder won't empty on it's own......problem solved!!

This happened to me last July and since then,I have never felt better . no problems, other than the constant fight with trying to maintain consistent Bg levels I'm satisfied with....

Anyway, I did have to find a family Dr. to treat the Diabetes. I go back tomorrow for some blood tests..

My last A1c in March was 5.5 and My 3month blood sugar was 107....

What a difference almost a year makes.....

Sooooo, Please go see a urologist and save your self some time and money...

I paid the price for ignoring my diabetes and urinary problems for years... but at least now I can go forward and live the rest of my knowing what I have to do to maintain a good quality of life that I can live with and enjoy to the fullest!!

I hope you feel better soon and hope you learned a little from my story and know no matter how bad it feels and looks now, things WILL GET BETTER!! take care of yourself and go full speed ahead!!! You're gonna be fine!!! Let us know how you're doin!! Cleo

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Hi everyone...well, just got in from the E.R. and it was a waste of time....they took three or four vials of blood and a cup of urine...gave me a I.V. ....

 

Nurse told me that I could go home....insisted that I talk to the doctor, who came in a hour later.....he said that I was fine, blood sugar was good and not the problem....I asked about being dehydrated and he said that I was "over-hydrated"...I told him I get thirsty and he said people with Diabetes always get thirsty....I asked about my lips being chapped and he said to use lip balm!

 

I did get referred to a Urologist, whom I almost had to beg to get an appointment for this Weds. (6/16/10).....I hope I can last that long without going crazy!

 

Clebo...thanks for the reply, but you are scaring the **** out of me! I cant do that....you must be MUCH stronger than I am!

 

Dan

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Hi Dan!! Glad you are going to the urologist!!

I did not mean to scare the "it"out of you....but maybe I did....

I was just giving you my own personal "worst case scenario" story.... I don't think you've gone far enough down that road to do that kinda of damage....

I've told my story many times in this forum and I know the folks in this forum are tired of hearing it and start rolling their eyes, but it's only to tell anyone who will listen...

Don't wait to see a Dr. .or specialist....I basically shrugged it off to getting older (I'll be 58 in July)and being from the old country(where you suck it up and rough it out)!!

Well, I paid a price , but the damage wasn't as bad as it could of been, and if I can save anyone else , the pain, and save their bladder or any other organ of their body, I've gotta try.

And Yes Dan, you can do anything that needs to be done....I told my Dr. exactly what you said....I didn't think I could do it, but I did and I do....

I am confident you will be fine and not have the bladder damage that I have(from waiting sooo long)....that's why I was hoping you'd go to a urologist.. I see mine twice a year now, once in the spring to see how I've been and in the fall for my annual prostate exam...

I have no complaints Dan!! Life is Good!! A year later (in July)I'm a new man with a new lease on life!!! Life has never been better and I FEEL GREAT- BETTER THAN EVER and SO WILL YOU!!

Let us know how it goes!! Take care !! Cleo

P.S. You're gonna be fine,Man!!

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Glad you're going to be seeing the urologist soon. At least you'll hopefully know what's going on and how to deal with it.

 

As for what the doc said about "people with diabetes always get thirsty," that's just not the case unless blood sugars are elevated. I have to remind myself to drink throughout the day, if I waited until I felt thirsty, I wouldn't drink much at all.

 

Are you on any BP meds that may have a diuretic effect? Do you drink tea or other stimulants that may cause you to urinate more? All of these may make you feel thirstier...along with your elevated blood sugars.

 

If you're getting up a lot at night, decrease your fluids after 6 pm.

 

Keep us posted on how things are going. It's really good that you got an appointment with the urologist so quickly.

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Yes, have been taking BP meds for about 5 years and it is 50/50....BP med and Water pill.....this is SO out of the ordinary that I cant blame it on that.

 

Thanks and I will sure let you know what they say/happens!

 

Does getting a cath hurt? I've heard that getting something stuck up there hurt like the devil! Is that true?

 

Dan

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Hi Dan,I'll admit I , like everyone else , is not used to having a foreign object inserted anywhere on my body.....

The pain , if you want to call it that, was no worse than the instant you get a shot in the arm.... Sooooo don't sweat it..

I'm sorry I have you worrying about something you probably don't have to worry about anyway....

I waited too long to see a Dr.....you didn't!!

I only had the implanted catheter for 8 weeks to rest my bladder... I carried a bag attached to the catheter tube and emptied it when it was full. I cleaned the bag and tube after each emptying....

That was the best 8 weeks of straight sleep , I had in years!!

Now , when I feel the need to cath, I have a disposable red rubber catheter (the Dr. said you can use them over and over again, just wash them well), I insert it with some K-Y Jelly lubricant, insert thru the penis and cath into a plastic urine collector pan.

It was just as the Dr. said.....it's like putting my pants on in the morning..... I don't feel anything , it's just old hat.....

I still pee on my own and a lot more than I did a year ago.....

I still don't cath as often now because I empty out much more on my own... regardless of what the Dr. says...

I cath to keep him happy and of course it does protect from whatever risidual urine may be left when I'm done..

Bottom line is I function just fine.....cath when I feel the need , which isn't as often....2-3 times a day.I was doing 5 times a day....

It is not a big deal or hassle!! It keeps me in check and healthy.... and I DO URINATE MORE ON MY OWN!!

Now that I've explained my experience....I'm pretty sure you're no where to the point of cathing, but if you ever had to , like anyone else, man or woman, adult or child, YOU CAN AND WILL BE ABLE TO!!!

SO please relax, and just wait and see what the urologist says....

You've taken the best step possible Dan, by going in early , instead of a few years too late.... The diabetes is what did the number on my bladder... because I waited so long before seeking help!!

It was not a total loss, like I said, I'm still able to urinate on my own and cath when I want to empty out residual to be on the safe side and keep infections at bay....

I went in last July with a urinary tract infection and have not had one since!!!!!

I am doing great....

By the way, I've already made this too long, but I want to add, I went to the family Dr. for blood work this morning and will get the results in a few days....

Dr. was beaming over my results....blood sugar charts I keep.... he told me to drop down blood sugar testing to 1x a day and said he will see me just 2x a year!!!!

I also discontinued my Metformin, and am now starting my new journey without meds and just trying to maintain my lifestyle with proper diet and exercise......Time will tell!!

So that's my story and where I'm at now from almost a year ago ... anything and everything is possible!! LIFE IS GOOD!!

So Dan, take a couple of deep breaths and relax.....you took the right step to go see the urologist....You're going early so don't even worry about cathing.....you haven't gone that far down the road yet to think about that!!!

No matter what, you will be fine and you will go forward...

I wish you continued good health and best wishes always, Cleo P.S Let us know how you make out!!

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still nothing definitive from the doctors....did a urine test, a interview, and then sonogram at the Urologist office.....she said that there is no urine backing up and seemed to be happy about that!

 

I have to go for a CAT scan next Tues and was then able to get my appt. pushed up to the next day (Weds), rather than July 6th as planned...

 

In pretty much high discomfort, hard to urinate but constant sensation that I have to...

 

I looked online and this might be BPH...all the symptoms are there....? The doc gave me some samples of Vesicare (5mg)...but that doesn't seem to do anything to me yet...able to get a bit or relief today from some Tylenol....

 

Will let you know what happens.....man, I sure wish this wasn't happened to me!

 

Dan

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Hi Dan!!!! Glad you made it to the urologist!!! Your urine is not backing up , so that is good news!!!!

Doesn't sound like any cathing issues here....Hang in there Dan, let the doc do the testing and see what they say...

Hope you're feeling better real soon!! So far so good and hopefully you'll be back to the "old '" Dan real soon.....

Keep us posted!! Take care Man!! Cleo

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Soooo...today the Doc found blood in my urine....next Tuesday I have to get a Cystoscopy, which is them sticking a camera up my penis and filling my bladder with fluid and looking around...seems pretty scary to me! :(

 

CT scan showed a slightly enlarged prostrate....the doc didn't say much to me today and she scheduled me for next Tuesday....sucks...

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Hi Dan!!! I don't have any experience with that kind of testing, but you're in good hands...just take it a day at a time.......worrying isn't gonna help...most important you're getting tests done and will have answers soon...

THINK POSITIVE!!!! I AM....Hang in there and let us know how you make out!! I'm in your corner!!! LIFE IS GOOD, Clebo

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Dan, cystoscopy will show them if there are any tumors, inflammation, etc inside your bladder. They will numb you locally with xylocaine jelly instilled into the urethra through the penis. The scope is thin and flexible (a catheter of sorts) and attaches to the camera, which the doctor will hold in his hand. The test shouldn't take very long,in our office it's about 15-20 minutes unless a biopsy is required, and if you're really apprehensive, bring a driver and ask for IV sedation (in our office we use IV Versed if requested). We have patients who don't ask for any sedation and do fine. Others are more anxious and request it.

 

After the test, the doctor will be able to tell you if anything abnormal was found. You may have a little burning with urination the first few times after the procedure. They can give you a pill to anesthetize your bladder that will turn your urine orange or blue (just ask for it).

 

Enlarged prostate is very common, there are meds available to shrink the prostate, which will help with your frequent urination.

 

Don't over-stress. Think about it, if it were a horribly painful test, they'd do it in the hospital rather than in the doctors office.

 

Do let us know how it goes.

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