Good morning from South Jersey to all you diabetes warriors
Proper hydration, a loaded question, with many answers.
Those with kidney disease need to listen to their doctors.
Those on diuretics, listen to your doctor.
Those on sulfonylureas may need extra water.
If exercising, you may need more water.
Most of the rest of us fall into these categories
In general, data and recommendations from the National Academies of Sciences, Engineering, and Medicine suggest that
Women 150 pounds, BMI less… read more
Before becoming diabetic I used to drink 70 oz, now I drink 100 oz.
For those who say they do not count their coffee, tea, milk, etc... as a now retired nurse who worked the last 15 yrs in dialysis, I would like to let you know what is counted as fluids on a kidney perspective :
Anything made with fluids, such as coffee, tea, jello, pudding, ice cream, smoothies, yogourt, soups, etc... all these count as fluids, especially if one has high blood pressure or kidney diseases.
So if you are known for high blood pressure or kidney disease or edema (swelling accumulation of fluid in extremeties or lungs) Heart irregularities, speak with your doctors about how much fluid is safe for your medical condition.
This now means for those who do not measure all the drinks and foods I mentioned above, anything you eat which is liquid or semi liquid needs to be included in your daily fluid intake. For some who have swelling they may see this going down by reducing their fluid intake.
Kidney patients who are headed to kidney failure or CKD (chronic kidney disease) have to absolutely measure their fluid intake as the kidney may not process extra fluid. A rule of thumb for patients with kidney failure was drink 1 litre = 1000 ml = (33 oz), plus what ever quantity you urinate (this involves getting some kind of measuring system and measure your daily urine out put, if you urinate less as in 0.5 liter = 500 ml = (17 oz) then you can add that amount to your daily intake = 1.5 liter = 1500 ml = (50 oz).
You can use a conversion online to find out how many oz you can safely drink. Those on dialysis eventually stop urinating so they are stuck with only 1 l = 1000 ml, = (33 oz) per day or they will accumulate fluid, so their total intake becomes very limited and restricted as their kidneys barely process fluids anymore if non at all.
So if you are followed by cardiologist ask what amount is safe to drink or eat as in fluids, or you can go into fluid overload. If you are followed by a Nephrologist as them how much is safe or again you can go into fluid overload. High blood pressure is usually followed by cardiologist or a GP so ask what fluid levels you should be drinking. Some people with high blood pressure also require to limit fluids and your doctor can help you out with that
If you are on diuretic your risk of fluid overload are higher, it is why people are put on diuretics to eliminate the excess fluid, so again ask your doctor.
Hope this helps as to fluid intake and restrictions.
Thanks @A DiabetesTeam Member for bringing up this questions, I think it gets omitted a lot as to what is fluid intake and limits or restritions.
Yes 100 oz may be too much for some people with underlying medical issues.
But we lose fluids everyday through breathing (just exhale into a mirror or windows and you will see fog or ice in winter months), we even see our breath in winter month from the cold outside air, mixing with our warm internal air being exhaled creating a fog like appearance and people with mustaches or beard can develop icycles from the air exhaled through our nose and mouth, so boviously there is evaporation going on of sorts.
We lose fluids through urination and stools, we also lose fluids when sweating ( a way for our bodies to cool us down) when too hot or have a fever. If you cry you also lose water. Below is an interesting article about losing fluids and water intake :
Water is your body's principal chemical component and makes up about 50% to 70% of your body weight. Your body depends on water to survive.
Every cell, tissue and organ in your body needs water to work properly. For example, water:
Gets rid of wastes through urination, perspiration and bowel movements
Keeps your temperature normal
Lubricates and cushions joints
Protects sensitive tissues
Lack of water can lead to dehydration — a condition that occurs when you don't have enough water in your body to carry out normal functions. Even mild dehydration can drain your energy and make you tired.
How much water do you need?
Every day you lose water through your breath, perspiration, urine and bowel movements. For your body to function properly, you must replenish its water supply by consuming beverages and foods that contain water.
So how much fluid does the average, healthy adult living in a temperate climate need? The U.S. National Academies of Sciences, Engineering, and Medicine determined that an adequate daily fluid intake is:
About 15.5 cups (3.7 liters) of fluids a day for men
About 11.5 cups (2.7 liters) of fluids a day for women
These recommendations cover fluids from water, other beverages and food. About 20% of daily fluid intake usually comes from food and the rest from drinks.
But always check with your doctor as some health conditions require less fluid intake.
My water bottles are 16.9 ozs and I drink 5 bottles of total 84.5 ozs because my doctor suggested that I drink at least 80 ozs in small moderation. Scoobydee, I don't count my green decaf tea either. I don't drink sodas but I drink almond milk in the morning and I enjoy my crystal light lemonade for a snack or evening boost.
I drink anywhere between 80 to 120 oz a day. With warmer weather and gardening coming soon….well maybe😂 I’ll be adding more to that total. I know from what I’ve heard they say drink half your weight in water. I don’t usually count the coffee and teas I drink so my totals are actually a bit higher if I do that. With the exception of my morning coffee and some green tea or oat tea during the day I drink only water. No sodas of any kind or milk.
Water is good for you but some drink too little and some drink too much. Your 100 oz a day is a good guideline but that amount of fluid also includes other beverages from what I understand... so count your cups of coffee/tea, glass of juice/milk if your diet includes these beverages. Let's say you drink 4 beverages a day then you can have 6 or more glasses of water (8oz glasses) each day... more if you are very active so you sweat and just the basic 10 cups if you are sedentary... this leaves the amount up to you and how you feel! just don't drink too little or too much!
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