Diabetics can suffer from a variety of urine-related problems such as frequent urination, urinary urgency, sugar, and excessive urination, but did you know? Diabetics also experience urinary incontinence.

First, let's understand what incontinence is.

Urinary incontinence is the uncontrolled outflow of urine from the bladder. It can occur at all ages, but it is more common in the elderly, so many people may think that incontinence is due to the age factor, but in fact many kinds of diseases can cause incontinence to occur.

The most common cause of urinary incontinence in diabetes:

Urinary tract infections:Urinary tract infections are one of the most common infections in diabetic patients, especially in women. Due to the anatomical characteristics of the female urethra, it is very easy to develop urinary tract infections. And diabetic patients due to the elevation of blood sugar, body resistance decreased, urinary tract infection is more common. At the same time, due to the increase in urine volume, the number of times of urination increases, it is likely to appear incontinence.

Diabetic bladder: Diabetic patients with long-term elevated blood glucose can develop autonomic neuropathy, the bladder sphincter contraction ability decreases, the urinary reflex can not reach the brain in time to form an effective reflex arc, the patient will develop urinary incontinence, and some patients may develop urinary retention.

Stroke:Diabetics are often comorbid with lesions of the large blood vessels in the brain. When there is ischemia or hemorrhage in the brain, effective urinary reflexes cannot be transmitted, and in the case of stroke, the brain's control of the sphincter muscles is reduced, and incontinence can also occur.

Pelvic floor muscle relaxation:Elderly women, or women with gynecological disorders such as multiple births, abortions and induced abortions, loose pelvic floor muscles, decreased muscle tone in the urethra and pelvic floor, and sphincter dysfunction due to uterine prolapse, bladder prolapse, and so on, can all experience urinary incontinence.

Diabetic friends incontinence causes, some related to diabetes, some are caused by their own factors, but because and urine-related, and convenient life is closely related, so it is necessary to prevent the appearance of incontinence, incontinence should be treated in a timely manner, in order to reduce the pain of inconvenience in life.

All of the above factors require good blood sugar control, nutritional nerve and other treatments. For those with pelvic floor muscle laxity, it is important to perform effective exercises, do more anal lifting to exercise the muscles of the pelvic floor, and if the laxity is obvious, surgical treatment or physical therapy can be considered to correct it.

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Thanks for the invitation. Let's start by explaining what urinary incontinence is. It is a condition of involuntary leakage of urine through the urethra, which is a syndrome. Essentially, this is mainly due to the fact that during the storage phase of the bladder the pressure in the bladder exceeds the resistance that prevents urination, and the urine becomes uncontrolled and incontinent. In other words, either excessive pressure in the bladder that promotes urination or a decrease in the ability to prevent urination can lead to incontinence.

There are so many causes of urinary incontinence; malformations of the urinary tract, bladder inflammation, neuropathy and pelvic floor muscle relaxation can all lead to a condition where there is too much pressure on the bladder and too little resistance to urination.

There is no doubt that diabetes is also a cause of urinary incontinence.

On the one hand, since glucose enters the nerve cells without the help of insulin, the concentration of glucose in the nerve cells of diabetic patients will be very high, which will make the proteins in the nerve cells undergo glycation and denaturation, and this change makes it inevitable for the patient to have a condition of incontinence and blockage of urine, and the formation of urinary incontinence.

On the other hand, impaired microcirculation leads to atrophy of the pelvic floor muscles that control urination, and their ability to control urination decreases.

It has been shown that the incidence of urinary incontinence is significantly higher in patients with diabetes mellitus of ≥10 years than in patients with diabetes mellitus of <10 years, so controlling the patient's blood glucose can help to reduce the risk of urinary incontinence. Welcome to my headline - Li Feng, Jiangsu Provincial Cancer Hospital.

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