Felix Klemme über Zucker: Welche Früchte darf ich bei Diabetes essen?
Diabetes insipidus is a rare disorder that occurs when a person's kidneys pass an abnormally large volume of urine that Gemüseverzehr bei Diabetes insipid—dilute and odorless. In most people, the kidneys pass about 1 to 2 quarts of urine a day. In people with diabetes insipidus, the kidneys can pass 3 to 20 quarts of urine a day.
As a result, a person with diabetes insipidus may feel the need to drink large amounts of liquids. Diabetes insipidus and diabetes mellitus—which includes both type 1 and type 2 diabetes—are unrelated, although both conditions cause frequent urination and constant thirst.
Diabetes mellitus causes high blood glucose, or blood sugar, resulting from Gemüseverzehr bei Diabetes body's inability to use blood glucose for energy. People with diabetes insipidus have normal blood glucose levels; however, their kidneys cannot balance fluid in the body. The kidneys are two bean-shaped organs, each about the size of a fist.
They are located just below the rib cage, one on each side of the spine. Every day, the kidneys normally filter about to quarts of blood to produce about 1 to 2 quarts of urine, composed of wastes and extra fluid. The urine flows from the kidneys to the bladder through tubes called ureters.
The bladder stores urine. When the bladder empties, urine flows out of the body through a tube Gemüseverzehr bei Diabetes the Gemüseverzehr bei Diabetes, located at the bottom of the bladder. A person's body regulates fluid by balancing liquid intake and removing extra fluid.
The hormone vasopressin, also called antidiuretic hormone, controls the fluid removal rate through urination. The hypothalamus, a small gland located at the base of the brain, produces vasopressin. The nearby pituitary gland stores the vasopressin and releases it into the bloodstream when the body has a low fluid level. Vasopressin signals the kidneys to absorb less fluid from the bloodstream, resulting in less urine. When the body has extra fluid, the pituitary gland releases smaller amounts of vasopressin, and sometimes none, so the kidneys remove more fluid from the bloodstream and produce more urine.
Central diabetes insipidus happens when damage to a person's hypothalamus or pituitary gland causes disruptions in the normal production, storage, and release of vasopressin. The disruption of vasopressin causes the kidneys to remove too much fluid from the body, leading to an increase in urination. Damage to the hypothalamus or pituitary gland can result from the following:. Central diabetes insipidus can also result from an inherited defect in the gene that produces vasopressin, although this cause is rare.
In some cases, the cause is unknown. Nephrogenic diabetes insipidus occurs when the kidneys do not respond normally to vasopressin and continue to remove too much fluid Gemüseverzehr bei Diabetes a person's bloodstream. Nephrogenic Gemüseverzehr bei Diabetes insipidus can result from inherited gene changes, or mutations, that prevent the kidneys from responding to vasopressin. Other causes of nephrogenic diabetes insipidus include. A defect in the thirst mechanism, located in a Gemüseverzehr bei Diabetes hypothalamus, causes dipsogenic diabetes insipidus.
This defect results in an abnormal increase in thirst and liquid intake that suppresses vasopressin secretion and increases urine output. The same events and conditions that damage the hypothalamus or pituitary—surgery, infection, inflammation, a tumor, head injury—can also damage the thirst mechanism.
Certain medications or mental health problems may predispose a person to dipsogenic diabetes insipidus. Gemüseverzehr bei Diabetes diabetes insipidus occurs only during pregnancy. In some cases, an enzyme made by the placenta—a temporary organ joining mother and baby—breaks down the mother's vasopressin. In other cases, pregnant women produce more prostaglandin, a hormone-like chemical that reduces kidney sensitivity to vasopressin.
Most pregnant women who develop gestational diabetes insipidus have a mild case that does not cause noticeable symptoms. Gestational diabetes insipidus usually goes away after the mother delivers the baby; however, it may return if the mother becomes Gemüseverzehr bei Diabetes again. The main complication of diabetes insipidus is dehydration if fluid loss Gemüseverzehr bei Diabetes greater than liquid intake.
Gemüseverzehr bei Diabetes of dehydration include. Taking a medical and family history can help a health care provider diagnose diabetes insipidus. A health care provider will ask the patient to review his or her symptoms and ask whether the patient's family has a history of diabetes insipidus or its symptoms.
A physical exam can help diagnose diabetes insipidus. During a physical exam, a health care provider usually examines the patient's skin and appearance, checking for signs of dehydration. Urinalysis tests a urine sample. A patient collects the urine sample in a special container at home, in a health care provider's office, or at a commercial facility.
A health care provider tests the sample in the same location or sends it to a lab for analysis. The test can show whether the urine is dilute or concentrated. The test can also show the presence of glucose, which can distinguish between diabetes insipidus and diabetes mellitus.
The health care provider may also have the patient collect urine in a special container over a hour period to measure the total amount of urine produced by the kidneys. The blood test measures sodium levels, which can help diagnose diabetes insipidus and in some cases determine the type.
A health care provider can perform two types of fluid deprivation tests:. Gemüseverzehr bei Diabetes resonance imaging MRI is a test that takes pictures of the body's internal Gemüseverzehr bei Diabetes and soft tissues without using x-rays. A specially trained technician performs the procedure in an outpatient center or a hospital, and a radiologist—a doctor who specializes in medical imaging—interprets the images. A patient Gemüseverzehr bei Diabetes not need anesthesia, although people with a fear of confined spaces may receive light sedation.
An MRI may include an injection of a special dye, called contrast medium. With most MRI machines, the person lies on a table that slides into a tunnel-shaped device that may be open ended or closed at one end.
Some MRI machines allow the patient to lie in a more open space. MRIs cannot diagnose diabetes insipidus. Instead, an MRI can Gemüseverzehr bei Diabetes if the patient has problems with his or her hypothalamus or pituitary gland or help the health care provider determine if diabetes insipidus is the possible cause of the patient's symptoms.
The primary treatment for diabetes insipidus involves drinking enough liquid to prevent dehydration. A health care provider may refer a person with diabetes insipidus to a nephrologist—a doctor who specializes in treating kidney problems—or to an endocrinologist—a doctor who specializes in treating disorders of the hormone-producing glands.
Researchers have not found that eating, diet, and nutrition play a role in causing or preventing diabetes insipidus. Clinical trials are part of clinical research and at the heart of all medical advances. Clinical trials look at new ways to prevent, detect, or treat disease. Researchers also use Gemüseverzehr bei Diabetes trials Gemüseverzehr bei Diabetes look at other aspects of care, such as improving the quality of life for people with chronic illnesses.
Find out if clinical trials are right for you. Clinical trials that are currently open and are recruiting can be viewed at www. The NIDDK translates and disseminates research findings through its clearinghouses and education programs to increase knowledge and understanding about health and disease among patients, health professionals, and the public.
Joseph Verbalis, M. D, Georgetown University. What are the kidneys and what do they do? How is fluid regulated in the body? What are the types of diabetes insipidus? What are the complications of Gemüseverzehr bei Diabetes insipidus? Seek Immediate Care How is diabetes insipidus diagnosed? How is diabetes insipidus treated? Every day, the Gemüseverzehr bei Diabetes normally filter about to quarts of blood to produce about 1 to 2 quarts of urine.
The types of diabetes insipidus include central nephrogenic dipsogenic gestational Each type Gemüseverzehr bei Diabetes diabetes insipidus has a different cause. Central Diabetes Insipidus Central diabetes insipidus happens when damage to a person's hypothalamus or pituitary gland causes disruptions in the normal production, storage, and release of vasopressin. Damage Gemüseverzehr bei Diabetes the hypothalamus or pituitary gland can result from the following: surgery infection inflammation a tumor head injury Central diabetes insipidus can also result from an inherited defect in the gene that produces vasopressin, although this cause is rare.
Nephrogenic Diabetes Insipidus Nephrogenic diabetes insipidus occurs when the kidneys do not respond normally to vasopressin and continue to remove too much fluid from a person's bloodstream. Other causes of nephrogenic diabetes insipidus include chronic kidney disease certain medications, particularly Gemüseverzehr bei Diabetes low potassium levels in the blood high calcium levels in the blood blockage Gemüseverzehr bei Diabetes the urinary tract The causes of nephrogenic diabetes insipidus can also be unknown.
Dipsogenic Diabetes Insipidus A defect in the thirst mechanism, Gemüseverzehr bei Diabetes in a person's hypothalamus, causes dipsogenic diabetes Gemüseverzehr bei Diabetes. Gestational Diabetes Insipidus Gestational diabetes insipidus occurs only during pregnancy. Signs of dehydration include thirst dry skin fatigue sluggishness dizziness confusion nausea Severe dehydration can lead to seizures, permanent brain damage, and even death.
How is diabetes insipidus diagnosed? A health care provider can diagnose a person with diabetes insipidus based on Gemüseverzehr bei Diabetes following: medical and family history physical exam urinalysis blood tests fluid deprivation test magnetic resonance imaging MRI Medical and Family History Taking a medical and family history can help a health care provider diagnose diabetes insipidus. Physical Exam A physical exam can help diagnose diabetes insipidus.
Urinalysis Urinalysis tests a Gemüseverzehr bei Diabetes sample. A health care provider Gemüseverzehr bei Diabetes perform two types of fluid deprivation tests: A short form of the deprivation test. A health care provider instructs the patient to stop drinking all liquids for a specific period of time, usually during dinner. The next morning, the patient will collect Gemüseverzehr bei Diabetes urine sample at home. The patient then returns the urine sample to his or her health care provider or takes it to a lab where a technician measures the concentration of the urine sample.
A formal fluid deprivation test. A health care provider performs this test in a hospital to continuously monitor the patient for signs of dehydration. Patients do not need anesthesia. A health care provider weighs the patient Gemüseverzehr bei Diabetes analyzes a urine sample. The health care provider repeats the tests and measures the patient's blood pressure every 1 to 2 hours until one of the following happens: The patient's blood pressure drops too low or the patient has a rapid heartbeat when standing.
The patient loses 5 percent or more of his or her initial body weight. Urine concentration increases only slightly in two to three consecutive measurements.