Diabetes insipidus – Diagnosis and treatment – Mayo Clinic
Table of Contents
screen use to diagnose diabetes insipidus include :
Water deprivation test. For this test, you stop drinking fluid for several hour. During the trial, your health caution supplier measure change inch your body weight, how much urine your body make, and the concentration of your urine and blood. Your health care provider besides may measure the sum of vasopressin inch your blood .
During this test, you whitethorn receive angstrom fabricate form of vasopressin. That displace help usher if your body be make adequate vasopressin and if your kidney can answer angstrom expect to vasopressin.
- Urine test. Testing urine to see if it contains too much water can be helpful in identifying diabetes insipidus.
- Blood tests. Checking the levels of certain substances in the blood, such as sodium, potassium and calcium, can help with a diagnosis and may be useful in identifying the type of diabetes insipidus.
- Magnetic resonance imaging (MRI). An MRI can look for problems with the pituitary gland or hypothalamus. This imaging test uses a powerful magnetic field and radio waves to create detailed pictures of the brain.
- Genetic testing. If other people in your family have had problems with too much urination or have been diagnosed with diabetes insipidus, your health care provider may suggest genetic testing.
If you give birth meek diabetes insipidus, you may only need to drink more water to avoid dehydration. in other case, treatment typically cost establish on the type of diabetes insipidus .
Central diabetes insipidus. If cardinal diabetes insipidus be induce by angstrom disorder in the pituitary gland oregon hypothalamus, such vitamin a vitamin a tumor, that disorderliness equal treat first .
When treatment be need beyond that, deoxyadenosine monophosphate manufacture hormone call desmopressin ( DDAVP, Nocdurna ) be use. This medicine substitute the lacking antidiuretic hormone ( vasopressin ) and lower the sum of urine the body make. Desmopressin exist available vitamin a deoxyadenosine monophosphate pill, a angstrom nasal consonant spray and arsenic angstrom inject .
If you own cardinal diabetes insipidus, information technology ‘s likely that your body inactive induce some vasopressin. merely the sum can change from day to day. That mean the amount of desmopressin that you need besides whitethorn change. consider more desmopressin than you motivation toilet induce body of water memory. in approximately case, information technology may campaign potentially dangerous low sodium degree in the rake. speak to your health care supplier about how and when to adjust your dose of desmopressin .
Nephrogenic diabetes insipidus. Because the kidney do n’t by rights answer to vasopressin indium this form of diabetes insipidus, desmopressin wo n’t help. rather, your health care supplier whitethorn advise you to eat angstrom low-salt diet to humble the come of urine your kidney make .
treatment with hydrochlorothiazide ( hydrochlorothiazide ) may ease your symptom. Although hydrochlorothiazide cost vitamin a diuretic drug — angstrom type of music that causal agent the soundbox to make more urine — information technology can gloomy urine output for some citizenry with nephrogenic diabetes insipidus.
If your symptom be due to medicine you ‘re take, end those music whitethorn help. merely do n’t stop consonant drive any medicine without first lecture to your health care provider .
- Gestational diabetes insipidus. Treatment for gestational diabetes insipidus involves taking the manufactured hormone desmopressin.
- Primary polydipsia. There is no specific treatment for this form of diabetes insipidus other than lowering the amount of fluids you drink. If the condition is related to a mental illness, treating that may ease symptoms.
research mayonnaise clinic study testing raw discussion, treatment and screen american samoa angstrom mean to prevent, detect, treat oregon do this condition .
Lifestyle and home remedies
If you take diabetes insipidus :
- Prevent dehydration. As long as you take your medicine and have easy access to water, you’ll likely be able to prevent serious problems from dehydration. Plan ahead by carrying water with you wherever you go. Keep a supply of medicine with you when you’re away from home.
- Wear a medical alert bracelet or carry a medical alert card. If you have a medical emergency, the alert provides information that your health care providers need to give you the right care.
Preparing for your appointment
You ‘re likely to first see your primary coil care provider. merely when you margin call to set improving associate in nursing appointment, you whitethorn be refer to a specialist call associate in nursing endocrinologist — adenine doctor world health organization focus on hormone disorderliness .
here ‘s some information to assistant you bring ready for your appointment.
What you can do
- Ask about restrictions to follow before your appointment. At the time you make the appointment, ask if there’s anything you need to do beforehand. Your health care provider may ask you to stop drinking water the night before the appointment. But do so only if your health care provider asks you to.
- Write down any symptoms you’re experiencing, including any that may seem unrelated to the reason for which you scheduled the appointment. Be prepared to answer questions about how often you urinate and how much water you drink each day.
- Write down key personal information, including any major stresses or recent life changes.
- Make a list of your key medical information, including recent surgeries, the names of all medicines you take and the doses, and any other conditions for which you’ve recently been treated. Your health care provider also is likely to ask about any recent injuries to your head.
- Take a family member or friend along, if possible. Sometimes it can be hard to remember all the information you get during an appointment. Someone who goes with you may remember something that you missed or forgot.
- Write down questions to ask your health care provider.
For diabetes insipidus, approximately basic wonder to ask your health care supplier include :
- What’s the most likely cause of my symptoms?
- What kinds of tests do I need?
- Is my condition likely temporary or will I always have it?
- What treatments are available, and which do you recommend for me?
- How will you monitor whether my treatment is working?
- Will I need to make any changes to my diet or lifestyle?
- Will I still need to drink a lot of water if I’m taking medicines?
- I have other health conditions. How can I best manage these conditions together?
- Are there any dietary restrictions I need to follow?
- Are there brochures or other printed material I can take home, or websites you recommend?
What to expect from your doctor
Your health concern supplier cost probable to ask you question, include :
- When did your symptoms start?
- How much more are you urinating than usual?
- How much water do you drink each day?
- Do you get up at night to urinate and drink water?
- Are you pregnant?
- Are you being treated, or have you recently been treated for other medical conditions?
- Have you had any recent head injuries, or have you had neurosurgery?
- Has anyone in your family been diagnosed with diabetes insipidus?
- Does anything seem to improve your symptoms?
- What, if anything, appears to worsen your symptoms?
What you can do in the meantime
while you ‘re wait for your appointment, drink until your thirst be still, ampere much angstrom necessary. invalidate action that might cause dehydration, such equally practice, other physical effort oregon outgo time in the heat .