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Diabetes Insipidus: Treatment, Procedure, Cost and Side Effects

What is the treatment? How is the treatment done? Who is eligible for the treatment? (When is the treatment done?) Who is not eligible for the treatment? Are there any side effects? What are the post-treatment guidelines? How long does it take to recover? What is the price of the treatment in India? Are the results of the treatment permanent? What are the alternatives to the treatment?

What is the treatment?

Diabetes insipidus is an uncommon disorder that can cause imbalance of water in your body. This can result in intense thirst even after drinking fluids and excretion of large amounts of urine. This condition is experienced by people suffering from diabetes and just like diabetes, it is a lifelong condition. Treatments can relieve your thirst and normalise your urine output. A normal, healthy adult will urinate an average of about 3 litres every day. Anything above that is a cause of concern. It can be detected in children if you observe bed wetting by the ones who did not do so earlier. You will have to go through several diagnostic tests to find out the exact type of your disorder. Central diabetes insipidus, nephrogenic diabetes insipidus, gestational diabetes insipidus are the different types and your treatment will be done accordingly.

How is the treatment done?

You will have to go through water deprivation test to determine the cause of diabetes insipidus, urinalysis to see the concentration of urine and magnetic resonance imaging (MRI) to examine brain tissues. Central diabetes insipidus is treated with the use of a synthetic hormone called desmopressin. You can take desmopressin as nasal spray, oral tablets or injections. For nephrogenic diabetes insipidus, the doctor may suggest a low salt diet along with medications like hydrochlorothiazide. This will reduce the amount of urine your kidneys produce but you will need to consume enough water to avoid dehydration. Most cases of gestational diabetes insipidus are treated with the synthetic hormone desmopressin.

Who is eligible for the treatment? (When is the treatment done?)

If you suffer from diabetes and are experiencing intense thirst even after drinking fluids and excretion of large amounts of urine, you must consult your doctor immediately.

Who is not eligible for the treatment?

Signs like increased thirst and large amount of urine may be caused by other drugs if you are going through another medical treatment. Consult your doctor to confirm your condition.

Are there any side effects?

Taking too much desmopressin can cause low sodium levels in the blood and over water retention. This will result in lethargy, headache or nausea. Other medications can cause temporary redness or itching in skin.

What are the post-treatment guidelines?

Make sure that your body is not dehydrated. Carry water with yourself wherever you go. Always keep your medications in your carry bag. You may need them any time. Consume a healthy diet filled with fresh fruits and vegetables. Keep your sugar level and blood pressure in control. Exercise daily and stay away from alcohol and tobacco.

How long does it take to recover?

Diabetes insipidus is a lifelong condition. It can never be cured but can become manageable with appropriate medications and treatment.

What is the price of the treatment in India?

One session of consultation with your doctor may cost between ₹800 - ₹1500. The cost of desmopressin is around ₹1000 per microgram.

Are the results of the treatment permanent?

There is no permanent cure for diabetes insipidus but if the medications and treatment are taken properly and timely, the condition can become manageable.

What are the alternatives to the treatment?

There are no alternatives to the treatment but you must take necessary precautions well in time if you have a family history of diabetes.

Popular Questions & Answers

My father is diabetic which is in good control range in hb1ac with low bp and stature problem creatinine level is 1.28. Is it safe to take nefrosave keto alpha to reduce creatinine. He takes medicine of diabetes and ecosprin 75 regularly. Kindly suggest.

MRCP (UK), MRCGP int, MRCP (UK) Endocrinology and Diabetes (SCE), MBBS
Endocrinologist, Thrissur
actually whether nefrosave is beneficial is controversial. please keep an eye on daily sodium intake.

I have diagnosed pcod 9 months back. And tried all birth control pills but my periods aren't regular so now I came to know about metformin which may help me. So can you please say the time to take metformin and mg also?

MBBS, M.S Obstetrics & Gynaecology, F.MAS FELLOWSHIP IN MINIMAL ACCESS SURGERY, D. MAS Dipolma in MINIMAL ACCESS SURGERY, FICRS, Fellowship in COSMETIC GYNAECOLOGY, Diploma in advanced Laparoscopy for Urogynaecology & Gynaec oncology, Basic training course in minimal invasive surgery in Gynaecology, Basics of Colposcopy, Fellowship in Cosmetic Gynaecology, Certificate course in diagnostic ultrasound imaging, Certificate of hands on training in hysteroscopy, Certificate course in diabetes, Fellowship in assisted reproductive technology, Certificate program in aesthetic Medicine, Certificate of operative Hysteroscopy, Certificate course in clinical embryology
Gynaecologist, Chennai
Only if there us is insulin resistance proved with acanthosis or blood investigation you need to use metformin to work or otherwise it's like using it without purpose but it might cause dizziness.
1 person found this helpful

Sir. Good morning. I am diabetic since 2015. And earlier I was taking fastmet g2 per the instruction of a physician. But I started gaining weight. My endocrinologist asked me to stop it and prescribed me carbophage xr1000 and gibtulio 25 /jardiance. So, I have shed many kilograms and now I have lost almost 18 kgs in the last 3 years. I was morbidly obese then. But even after taking all these medicines, my fbs levels don't go below 120 and ppbs below 140 .last week when I checked my fbs level was 147 and ppbs level was 209. Yesterday when I checked, my ppbs levels were at 222. Last month my hba1c level was 6.4.but my Dr. was concerned becoz of the lack of coordination bn the fbs ppbs levels and hba1c level. Also, as a cheaper medicine, I tried vysov 50/1000 for a brief period of time last year. Even though, my sugar levels got under control, I started gaining weight. I also tried xigduo .but I felt like being feverish and was not comfortable after taking it. Also, when we plan to check ppbs. What food we should have for breakfast? For instance, if it's idly. How many idlies can we have ?is reach a good staple food for diabetic patients? In kerala, as you know, rice is the staple food. Kindly clarify sir.

MRCP (UK), MRCGP int, MRCP (UK) Endocrinology and Diabetes (SCE), MBBS
Endocrinologist, Thrissur
Hi lybrate-user it is better to consult an endocrinologist as you have difficult to control diabetes. I guess insulin resistance will be a problem given the issues with weight you're having. Glp 1 agonists with metformin and a gliptin will be a go...
1 person found this helpful

Sir mari wife ko type 1 diabetes jai or wo under weight hai sath uske pero me dard rhta hai kya use neurobion forte tablet syrup de sakte hai.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
Hello, thanks for the query. Yes you can give nurobion tablets if patient needs those. There is absolutely no problem. Thanks.

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MBBS Bachelor of Medicine and Bachelor of Surgery,MD - Medicine,DM - Endocrinology
Endocrinology
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