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Question:

From Ashland, Ohio, USA:

My son is almost 15 years old and has been a diabetic for 4 years. He was a bedwetter before the onset of diabetes and he still has had no relief. We have tried several things previous to the diabetes but nothing worked. Since the diabetes we have tried hypnosis. Nothing works. He is not in good control currently. His HgbA1C was 10.3 a month ago. He is active but is big for his age. He is 6'3" and 225 pounds. This 15 year old problem is really causing him a lot of emotional distress as he begins high school next month. Is there anything that can help us overcome this?

Answer:

With a HbA1c of over 10, his diabetes is not in control. The constant hyperglycemia certainly contributes to excess urine in the night. I think the most important step is controlling the diabetes

Nocturnal enuresis is a significant problem for many boys. Most "grow" out of it by 15. If the diabetes isn't the cause, then you need evaluation by physician experienced in this area. If your endocrinologist isn't able to evaluate him, maybe a urologist should be consulted.

LD

Additional comments from Dr. Lebinger:

Persistent bedwetting is uncommon in a 15 year old even when blood sugars are high. Although very rare, you might want to consider a condition called diabetes insipidus where the body can't concentrate the urine and the urine amount is excessive even if no sugar is in the urine. (Diabetes mellitus is the more "common" type of diabetes with sugar with sugar in the blood and urine.)

Occasionally these two problems occur together (Wolfram Syndrome) and may also be associated with some eye and hearing problems (not the eye problems you see with high sugar but another problem called optic atrophy).

TGL

Original posting 30 Sep 1998
Posted to Other Illnesses and Daily Care

  
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Last Updated: Tuesday April 06, 2010 15:09:00
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