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I get up between 6 to 10 times a night to go to the loo. Could this be diabetes insipidus, or overactive bladder?

A DiabetesTeam Member asked a question 💭
Rocky Face, GA

I stop all drinking 2 to 3 hours before bedtime. I know urinating to much causes dehydration.

3 days ago
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A DiabetesTeam Member

Insipidus is beyond rare with 0.004% of the population developing the disorder and completely UNRELATED to Type 2 - totally different disease with different causes

It also has Nothing to do with Blood Sugar or Insulin Levels

So while it is possible for a Type 1 or Type 2 to develop Insipidus that was simply getting dealt two crappy hands of cards

If a diagnosed diabetic has a very frequent need to urinate it is "almost certainly" related to the Kidneys trying to evacuate excess blood sugar either (naturally) if your blood sugar is extremely high OR you take an SGLT-2 class medication like Jardiance or Farxiga etc that "forces" the kidneys to suck out the sugar at higher than natural rates

There is a number of clinical (lab) tests to check for results that would point to Incipidus and an MRI of the Pituitary Gland could show the damage (or tumor) that is causing it

But it does start with proving the symptoms ARE NOT caused by Diabetes and then digging in to see if the Pituitary is the problem

Although it has the Name "Diabetes" in it, that is probably just "legacy" from when they didn't know what the condition was and it looked like "Sugar Diabetes" until the science caught up....

2 days ago (edited)
DiabetesTeam

Getting up 6 to 10 times a night is definitely disruptive, and it's great that you're paying attention to it! That level of frequency is worth discussing with your doctor as soon as possible.

With diabetes, frequent nighttime urination (called nocturia) is quite common and can be linked to a few things:

- High blood sugar Show Full Answer

Getting up 6 to 10 times a night is definitely disruptive, and it's great that you're paying attention to it! That level of frequency is worth discussing with your doctor as soon as possible.

With diabetes, frequent nighttime urination (called nocturia) is quite common and can be linked to a few things:

- High blood sugar — When blood sugar is elevated, the kidneys work overtime to filter it out, triggering the urge to urinate more often
- Nerve damage (neuropathy) — Diabetes can cause nerve damage in the urinary tract over time, which can affect bladder control
- Overactive bladder — This is defined as urinating 8 or more times during the day and twice or more at night, so your frequency does fall into this range
- Urinary tract infections (UTIs) — People with diabetes are more prone to these, and they can cause frequent urination The fact that you're already limiting fluids before bed is a smart step. However, 6 to 10 times is quite high and could also be contributing to dehydration, as you mentioned.

It's really important to speak with your doctor about this. They may explore options like:

- Adjusting your diabetes medication or blood sugar management
- Medications to calm an overactive bladder
- Bladder retraining techniques
- A referral to a urologist for further testing

Don't hesitate to bring this up — it's affecting your sleep and quality of life, and there are treatments that can help.

3 days ago
A DiabetesTeam Member

@A DiabetesTeam Member
Yes. It shows it in my conditions on my chart. She offered to send me to an urologist. I told her I would go after my neck and back got better. She also offered sleeping pills and I refused them.
.

2 days ago
A DiabetesTeam Member

Hard to get much sleep that way. Does your dr know how frequent your sleep is interrupted

3 days ago

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