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11 Possible Causes for Overflow Incontinence, Variable Hypoglycemia

  • Diabetic Autonomic Neuropathy

    Subclinical neuropathy, however, as diagnosed from measurement of heart rate variability, may diminish the awareness of hypoglycemia but does not affect counterregulatory[ncbi.nlm.nih.gov] These conditions can progress to overflow incontinence and urinary tract infections. Hyperglycemia alone also can cause increased urine production and incontinence.[aafp.org] Finally, overflow incontinence occurs because of denervation of the external and internal sphincter ( 129 , 130 ).[care.diabetesjournals.org]

  • Autonomic Neuropathy

    […] an algorithm for prediction of hypoglycemia in both bedbound and active patients with type 1 diabetes (T1D).[ncbi.nlm.nih.gov] incontinence and inability to empty your bladder completely, which can lead to urinary tract infections - Sexual difficulties - Difficulty digesting food (gastroparesis),[dailystrength.org] A good glycemic and CVD risk factor control avoiding glycemic variability and hypoglycemia seems the most important therapeutic approach for its prevention [3, 7-9].[escardio.org]

  • Diabetic Neuropathy

    ., insulin dose or other antidiabetes agents) and may be a cause of glucose variability and unexplained hypoglycemia due to the dissociation between food absorption and the[doi.org] incontinence. [15,17] Am J Health Syst Pharm. 2004;61(2) 2004 American Society of Health-System Pharmacists[medscape.com] Dependent variables Dietary changes were assessed through the use of 2-day dietary records analyzed by a registered dietitian.[nature.com]

  • Diabetic Enteropathy

    Premixed insulin, therefore, may not be the best choice for patients with variable or unpredictable gastric emptying.[consultant360.com] incontinence Females: Reduced vaginal lubrication Cardiovascular Dysfunction present in 20% of asymptomatic diabetics Longitudinal testing: R-R variation; Valsalva maneuver[neuromuscular.wustl.edu] Furthermore, the use of premixed insulin requires relatively strict adherence to mealtimes and assumes nutrient availability within normal timeframes to avoid hypoglycemia[consultant360.com]

  • Diabetes Mellitus Type 2

    The choice of glycemic target also depends on consideration of other variables, such as risk for hypoglycemia, weight gain, and other drug-related adverse effects, as well[doi.org] incontinence, poor urinary stream Cardiovascular system Silent myocardial infarction Decreased heart variability or fixed rhythm Orthostatic hypotension Persistent sinus[amboss.com] Including ranges for recommended goals also allows for variability in individual HbA 1c measurements.[doi.org]

  • Bilateral Leg Weakness

    Hypotension; hypoglycemia; bronzing of the skin Hyponatremia; hyperkalemia; ACTH assay; ACTH stimulation test Normal Myotonic discharges† Diminished glycogen content Glucocorticoid[aafp.org] Cauda equina compression (syndrome) is suggested by flaccid weakness of the legs, often with urinary retention or overflow incontinence.[dartmouth.edu] […] excess Proximal Variable Buffalo hump; striae; osteoporosis Elevated urine-free cortisol, dexamethasone suppression, or corticotropin-releasing hormone stimulation tests[aafp.org]

  • Diabetic Amyotrophy

    It has also been shown that early mortality is a function of loss of beat to beat variability with MI. This can be reduced by 33% with acute administration of insulin.[diabetesmanager.pbworks.com] Genitourinary: Impotence, retrograde ejaculation, urinary hesitancy, overflow incontinence. At least 25% of men with diabetes have problems with sexual function.[patient.info] incontinence Females: Reduced vaginal lubrication Cardiovascular Dysfunction present in 20% of asymptomatic diabetics Longitudinal testing: R-R variation; Valsalva maneuver[neuromuscular.wustl.edu]

  • Myopathy, Endocrine

    Hypotension; hypoglycemia; bronzing of the skin Hyponatremia; hyperkalemia; ACTH assay; ACTH stimulation test Normal Myotonic discharges† Diminished glycogen content Glucocorticoid[aafp.org] Cauda equina compression (syndrome) is suggested by flaccid weakness of the legs, often with urinary retention or overflow incontinence.[dartmouth.edu] Type 2 muscle fiber atrophy Hypoglycemic Neuropathy 5 Common associated disorder: Insulinoma 4 Onset After prolonged & recurrent severe hypoglycemia: Usually with encephalopathy[neuromuscular.wustl.edu]

  • Abnormal Gastrointestinal Motility

    Premixed insulin, therefore, may not be the best choice for patients with variable or unpredictable gastric emptying.[consultant360.com] Constipation with overflow incontinence is very common as a cause of fecal incontinence in children.[drossmangastroenterology.com] ; and (d) stiff rectum, in which the fecal material is forced through the rectum so quickly that there is no time to prevent incontinence by squeezing the sphincter muscles[iffgd.org]

  • Sensorineural Deafness with Dilated Cardiomyopathy

    […] present Hypoglycemia Hepatomegaly Cardiomyopathy Lab Fasting ketogenesis: Low Diagnostic testing Organic acids Normal with random testing or during myalgic episode Hypoketotic[neuromuscular.wustl.edu] Urological problems can develop in the teenage years which cause urinary retention and/or incontinence overflow.[alstrom.org.uk] Adult Myalgic episodes Exercise & Fasting induced Relatively easily triggered Muscle pain: Relatively severe (More than CPT2 deficiency ) Rhabdomyolysis Systemic features: Variably[neuromuscular.wustl.edu]

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