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Doctor insights on: Diabetes Insipidus And Urine Specific Gravity

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Best urine/blood test for diabetes insipidus?

Best urine/blood test for diabetes insipidus?

Vasopressin.: Diabetes insipidus is due to lack of urine concentrating ability. This is from insufficient ADH or antidiuretic hormone due to various causes. This is called central diabetes insipidus. This has high urine volume, low urine osmolality, and migh intake of fluids. Argenine vasopressin or avp given to these patients causes a >9% rise in urine osmolality. In normal patients, it is <9%. ...Read more

Urine (Definition)

Urine is the product of the kidneys, which is produced to eliminate the waste products of metabolism, manage body fluid balance, &maintain acid-base balance. The blood is first filtered by the kidneys, and the composition of the resulting fluid is then altered depending on the body's needs. It is composed of mostly water, and breakdown products from blood cells impart ...Read more


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Can ketones in urine mean diabetes?

Can ketones in urine mean diabetes?

No : A blood sugar of > 200 and urine containing glucose and ketones are essentially diagnostic in patients with mostly type 1 diabetes. However, anyone can have ketones in urine resulting from illness, prolonged fasting, or certain diets. ...Read more

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Why does in acute glomerulonephritis , specific gravity &urine osmolality increase ?Shouldn't kidneys loss the ability to concentrate the urine?

Why  does in acute glomerulonephritis , specific gravity &urine osmolality increase ?Shouldn't kidneys loss the ability to concentrate the urine?

Leakage of protein,,: This is likely due to the fact that there is failure of the basement membrane to contain large molecules like proteins, etc.. Also in some cases, oliguria can occur, which means anything in the urine can get concentrated even more than it should be. Proteinuria can be almost 3 g/day. ...Read more

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Why is glucose excreted through your urine in diabetic nephropathy?

Why is glucose excreted through your urine in diabetic nephropathy?

Sugar in the urine: When your blood sugar is too high, your kidneys, which filter your blood, are not able to hold onto all the glucose and it spills over into the urine. ...Read more

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Is diabetes insipidus life threathening?Doc investigating if its anxiety or insipidus.All blood n urine test normal.Since 3 days high thirst,urination

Is diabetes insipidus life threathening?Doc investigating if its anxiety or insipidus.All blood n urine test normal.Since 3 days high thirst,urination

Life-threatening: due to effects on electrolytes (sodium). If it isn't low, or inappropriate amounts in urine (sodium pee'd out, when it should be held in) then it isn't diabetes insipidus. Vitamin B12 deficiency is from zero in the diet (strict vegan diet), or from malabsorption. If meat in diet, then there is zero reason to take b12 by pill--doesn't get in, then pill won't help. ...Read more

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Is urine specific gravity of 1.002-1.006 too low or indicative of anything? Creatinine .7, BUN 10, urinalysis normal/negative.

Is urine specific gravity of 1.002-1.006 too low or indicative of anything? Creatinine .7, BUN 10, urinalysis normal/negative.

No concern.: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, your results are normal. Low specific gravity, just means that you drank a lot of water. ...Read more

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ACR test morning sample - 17mg/dl microalbumin urine, Creatinine is 0.6 in blood.. No bp issue or sugar.

Normal: The albumin/creatinine ratio (ACR) urine test is used to detect the presence of abnormal amount of protein (albumin) in the urine which is often an early sign of kidney disease and an important prognostic marker in pts with diabetes and hypertension and a risk factor for cardiovascular disease. Your results (ACR 17 mg/dl and serum creatinine 0.6) are indicative or normal kidney function. ...Read more

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Is nephrogenic diabetes insipidus similiar to children's diabetes or not?

Is nephrogenic diabetes insipidus similiar to children's diabetes or not?

Imprecise question: Diabetes insipitus is decreased production or effect of vasopressin- nephrogenic is where it's effect reduced because of a kidney issue diabetes mellitus is a high sugar problem due to immune destruction of cells making Insulin in pancreas they are different disease states. ...Read more

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Doc suspects diabetes insipidus. Symptoms are rapidly relieved by eating salt (dehydration, headaches, twitching, urine output all decrease). Why?

Doc suspects diabetes insipidus. Symptoms are rapidly relieved by eating salt (dehydration, headaches, twitching, urine output all decrease). Why?

Not DI?: Diabetes insipidus is characterized by large amounts of dilute urine usually accompanied by very high serum sodium levels. Hydration and replacement of DDAVP (desmopressin) are the treatment. Consuming salt wouldn't help and could worsen the problem. ...Read more

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Diabetic:HbA1c 8.5, random urinary microalbumin:146.9mg/L, random urinary microalbumin/creat ratio:10.77mg/mmol plz suggest sme ways to control it!

Diabetic:HbA1c 8.5, random urinary microalbumin:146.9mg/L, random urinary microalbumin/creat ratio:10.77mg/mmol
plz suggest sme ways to control it!

A1c and UA:CR: Hi. Your A1c shows relatively poor diabetes control (although it could be A LOT worse!). Your urinary albumin:creatinine ratio (UA:CR) is normal, suggesting you have no diabetic kidney damage.I can't tell you how to improve your diabetes control, because I don't know how you're being treated. Healthy diet, regular exercise, and don't smoke for sure. Otherwise, see an endocrinologist. ...Read more

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What can cause severe thirst (7-10 liters per day) other than diabetes insipidus without diabetes mellitus (normal blood sugar)?

What can cause severe thirst (7-10 liters per day) other than diabetes insipidus without diabetes mellitus (normal blood sugar)?

Polydipsia ? etiolog: Psycogenic polydpsia can cause this but other physiologic causes must be ruled out by basic chemistries. You should see your PCP for blood work. ...Read more

Dr. James Lin Dr. Lin
2 doctors agreed:
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What is the Best way to monitor kidney functioning in type 1 diabetics?? Microalbumin urine tests or simple creatinine / cystatin-C?

Dr. James Lin Dr. Lin
2 doctors agreed:
What is the Best way to monitor kidney functioning in type 1 diabetics?? Microalbumin urine tests or simple creatinine / cystatin-C?

Here are some...: Annual urinalysis + serum creatinine & BUN are easiest and simplest for such. Meanwhile, working on healthy lifestyle without overindulgence & obsession is the foundation for all care/longevity. More? Peruse articles listed in http://www.formefirst.com/onDealSickness.html, http://www.formefirst.com/onLifeBasics.html, & http://www.formefirst.com/eMagicPowerUHL.html. Thereby you learn more on how-to ...Read more

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Random sample: urine protein 31mg/l urine albumin 5.00mg/l urine creatinine 3.894mmol/l urine albumin creatinine:ratio 1.3mg/mmol is this normal?

Random sample: urine protein 31mg/l urine albumin 5.00mg/l urine creatinine 3.894mmol/l urine albumin creatinine:ratio 1.3mg/mmol is this normal?

Is this a test?: Slight variation in the reports from different laboratories does exist. So, please refer to the attached normal range for interpretation. I'm sure there is such information for you to reconcile. If any doubt, talk and confirm with the attending doctor. Best ... ...Read more

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Hba1c 8.8 ptassium-5.8 creatinine76(0.86) sodium-141 urine sugar&ketones nill please sugest what's the causing high potassium?

Hba1c 8.8 ptassium-5.8 creatinine76(0.86) sodium-141 urine sugar&ketones nill please sugest what's the causing high potassium?

Check meds: There are some medications that can elevate potassium in blood, such as ace inhibitors, arbs, some water pills. Check with your pcp if you are taking any of those. And make sure you have blood repeated, since hemolysis can falsely elevate potassium. ...Read more

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Does urine specific gravity increase or decrease in post-renal azotemia ? And what about pre renal ?

Does urine specific gravity increase or decrease in post-renal azotemia ? And what about pre renal ?

Depends : In pre renal azotemia if due dehydration or volume depletion, specific gravity should be high but depends on baseline kidney functions like any underlying kidney disease. I am not sure what you meant by post renal azotemia- in general someone passing lots of urine and is clear, specific gravity should be low as it is likely to be dilute urine; but are some exceptions. ...Read more

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Is it possible to have a normal urinalysis with central diabetes and normal urine specific gravity? If so, how?

Is it possible to have a normal urinalysis with central diabetes and normal urine specific gravity? If so, how?

Yes: When the question is central diabetes insipidus (you DO mean diabetes insipidus, right?), urine SG should be masured by hygrometer or something more precise than the urinalysis strip. "Normal" SG is 1.003 to 1.030 depending on the variables that life provides. If you can concentrate your urine above 1.020, I'm doubting it's diabetes insipidus. Best wishes. ...Read more

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Can partial central diabetes insipidus go away or improve? After 2yrs needing ddavp (desmopressin) to control, eventually urine started to concentrate without it.

Can partial central diabetes insipidus go away or improve? After 2yrs needing ddavp (desmopressin) to control, eventually urine started to concentrate without it.

I have seen: one patient in which this happened, but it is very uncommon if the diagnosis is made correctly. Check w/your doctor. ...Read more

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Does urine specific gravity increase or decrease in post-renal azotemia ? And what about pre renal ?

Depends : In pre renal azotemia if due dehydration or volume depletion, specific gravity should be high but depends on baseline kidney functions like any underlying kidney disease. I am not sure what you meant by post renal azotemia- in general someone passing lots of urine and is clear, specific gravity should be low as it is likely to be dilute urine; but are some exceptions. ...Read more

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What does qns in case of urine specific gravity means ?N my urine pH is acidic

What does qns in case of urine specific gravity means ?N my urine pH is acidic

Not enough to test: Qns translates to quantity not sufficient. It means there was not enough volume of the sample for the test to be run buy the method the lab uses to confirm the result. ...Read more

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Is urine specific gravity of 1.002-1.006 too low or indicative of anything? Creatinine .7, BUN 10, urinalysis normal/negative.

No concern.: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, your results are normal. Low specific gravity, just means that you drank a lot of water. ...Read more

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Why post hypophysectomy via transphenoifal approach nurse should check urine specific gravity every 4 hrs?

Why post hypophysectomy via transphenoifal approach nurse should check urine specific gravity every 4 hrs?

Diabetes insipidus: After a transphenoidal surgery, you can have a disruption of the production of a pituitary hormone called vasopressin, which normally controls the amount of water that is filtered through the kidneys into your urine. This can result in losing too much water in your urine, a condition called "diabetes insipidus", resulting in diluted urine which can be measured by checking the specific gravity. ...Read more

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Misdx of diabetes insipidus, diagnosis now is psychogenic polydipsia. Am on water restriction, how long until my urine frequency slows down. Currently every 2hr or so.

Misdx of diabetes insipidus, diagnosis now is psychogenic polydipsia. Am on water restriction, how long until my urine frequency slows down. Currently every 2hr or so.

Right away: If your fluid intake has been reduced , your urine output will be proportionally go down.So as you restrict fluid you should see the effect right away.So follow your doctors advice and you will be alright. ...Read more

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Why is the urine of patients with diabetes mellitus bright (almost neon) yellow? Also, what causes the pH spike with diabetes insipidus?

Why is the urine of patients with diabetes mellitus bright (almost neon) yellow? Also, what causes the pH spike with diabetes insipidus?

Dehydration, fillers: Bright urine most often comes from dehydration (too little fluid or excess loss of fluids), often seen in diabetes. It can also come from the fillers and buffers in pills, including vitamins. pH spiking is alkalosis or excessively alkaline state from abnormal fluid and electrolyte dynamics. See your PCP or Endocrinologist for electrolyte lab work, and more info and discussion. ...Read more

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Can symptoms of diabetes insipidus disappear?

Can symptoms of diabetes insipidus disappear?

If the cause disappe: The degree of recovery is largely dependent on the underlying cause of the disease. Complete resolution of symptoms may not be seen in individuals with severe disease. Chronic diabetes insipidus, although inconvenient, is not usually a dire medical condition. When properly treated, diabetes insipidus itself does not reduce life expectancy. The prognosis, therefore, depends on the underlying diseas. ...Read more

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Foods that help people with diabetes insipidus?

Foods  that help people with diabetes insipidus?

It depeds on reason: One component of effective management of nephrogenic diabetes insipidus is the low sodium diet. Restricted sodium intake limits renal solute load and permits full effectiveness of chorothiazide. The usual sodium intake for persons in the us is about 5000 mg/day. From a medical perspective, the low sodium restriction for treatment of hypertension is 2400 mg/day. ...Read more

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How often is diabetes insipidus from lithium reversible?

How often is diabetes insipidus from lithium reversible?

Early = better: I can't tell you how often, but I can strongly urge you to see your provider ASAP to stop taking lithium and if this is a fairly new problem, it is more likely to reverse, but it can take time. The damage done is to the kidney - be sure to stay well hydrated and make an appointment. I hope you've caught it in time - good thinking to ask! Best wishes for a good result! ...Read more

Dr. Alvin Lin Dr. Lin
4 doctors agreed:
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What is the difference between diabetes insipidus and mellitus?

Dr. Alvin Lin Dr. Lin
4 doctors agreed:
What is the difference between diabetes insipidus and  mellitus?

Unrelated conditions: Diabetes mellitus (dm) is a condition of excessively high sugars which can cause one to void large amounts of urine frequently. Type 1 dm is caused by pancreatic failure so Insulin is required. Type 2 dm is resistance to Insulin or inefficient use. Diabetes insipidus is voiding large amounts of urine frequently due to either kidney or brain disorder, both unrelated to sugar & insulin. ...Read more

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Could symptoms of diabetes insipidus disappear and then return, why?

Could symptoms of diabetes insipidus disappear and then return, why?

YES: Post brain surgery or trauma or irradiation or chemotherapy, can cause transient diabetes insipidus and siadh. Treatment is indicated during the transient phase. ...Read more

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How does diabetes insipidus affect lifespan?

How does diabetes insipidus affect lifespan?

Little: Diabetes insipidus is caused by the inability of the kidneys to conserve water, which leads to frequent urination and pronounced thirst.The outcome depends on the underlying disorder. If treated, diabetes insipidus does not cause severe problems or reduce life expectancy. ...Read more

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Can you tell me how hypernatremia occur in diabetes insipidus?

Can you tell me how hypernatremia occur in diabetes insipidus?

ADH (vasopressin): Hypernatremia occurs in diabetes insipidus secondary due to the lack of anti diuretic hormone (ADH) effect in the kidney, resulting in decreased free water absorption thus creating a higher sodium. ...Read more

Dr. Luis Gonzalez-mendoza
251 doctors shared insights

Diabetes Insipidus (Definition)

A condition in which the pituitary gland does not make the ADH hormone, causing a person to need to drink ...Read more


Dr. Quang Nguyen
3,364 doctors shared insights

Diabetes (Definition)

A group of diseases that result in too much sugar in the ...Read more