People living with diabetes may experience episodes of incontinence and bedwetting. This is because high blood sugar levels can affect nerve function and lead to problems with bladder and bowel control. If you or a loved one are experiencing these symptoms, here are some tips for managing incontinence and bedwetting with diabetes.

How does diabetes cause incontinence?

High blood sugar levels can damage the nerves in the body, including the nerves that control the bladder and bowel. When the nerves are damaged, they can no longer function properly and may lead to problems with bladder and bowel control, which is also known as urinary and fecal incontinence. 

Can uncontrolled diabetes cause incontinence?

If blood sugar levels remain uncontrolled, individuals with diabetes may experience incontinence. Therefore, it's important for people with diabetes to maintain their blood sugar levels to prevent issues with bladder and bowel control.

What lifestyle changes can help manage incontinence in diabetic patients?

Lifestyle changes can play a significant role in managing incontinence and bedwetting:

• Maintain healthy blood sugar levels to prevent nerve damage
• Practice good bathroom habits by going at regular intervals
• Drink plenty of fluids to prevent dehydration and UTIs, which can worsen incontinence symptoms 
• Lose weight (if necessary) to reduce pressure on the bladder

How to prevent bedwetting with diabetes?

Wetting the bed with diabetes can be unsettling. Luckily, there are ways to prevent incontinence leaks at night. Fully emptying the bladder and limiting fluid intake before bedtime can reduce incidences of bedwetting. In addition, using disposable bed underpads are helpful for protecting sheets and mattresses.

What exercises can help improve bladder and bowel control?

Kegel exercises involve contracting and relaxing the pelvic floor muscles. Kegels can be done at home without medical supervision. Pelvic floor physical therapy with a trained healthcare provider can also be beneficial. These exercises can help improve the strength and coordination of the pelvic floor muscles, which can improve bladder and bowel control.

When should I seek medical help for incontinence and bedwetting with diabetes?

If lifestyle changes and exercises do not improve symptoms of incontinence or if symptoms worsen, it's important to seek medical help. A healthcare provider can evaluate the underlying cause of the incontinence and recommend appropriate treatment. They may also recommend further testing, such as a bladder function test or imaging studies, to evaluate the severity of the condition. In some cases, medical interventions such as medications, devices, or surgeries may be necessary to manage incontinence symptoms.

What medications, devices, or surgeries are available to help manage incontinence with diabetes?

There are several medical interventions that may be recommended to manage incontinence symptoms in diabetes patients. Medications such as anticholinergics, alpha blockers, or topical estrogen can help improve bladder control. Devices such as catheters, pessaries, or urethral inserts may be recommended to help manage incontinence symptoms. Surgical interventions such as bladder suspension or artificial sphincter implantation may be necessary in severe cases.

Ways to Naturally Manage Incontinence and Bedwetting in Diabetes Patients

Keep Blood Sugar Levels Under Control

The first and most important step in managing incontinence and bedwetting in diabetes patients is to keep blood sugar levels under control. High blood sugar levels can damage nerves in the bladder and bowel, leading to incontinence. Monitor your blood sugar levels regularly, follow a healthy diet, take your medications as prescribed, and get regular exercise to keep your blood sugar levels in check.

Drink Plenty of Fluids

Staying hydrated is important for bladder and bowel health. Drink plenty of water and other fluids throughout the day to help flush out your system and prevent constipation. However, be careful not to drink too much before bedtime, as this can increase the frequency of nighttime urination.

Practice Good Bathroom Habits

Develop good bathroom habits, such as using the toilet regularly and emptying your bladder completely. Avoid holding in urine or bowel movements for extended periods of time, as this can put pressure on the bladder and lead to incontinence. Use the bathroom before bedtime, and avoid consuming large amounts of fluids before going to sleep.

Pelvic Floor Muscle Exercises

Strengthening the pelvic floor muscles can improve bladder and bowel control, and reduce the risk of incontinence and bedwetting. Practice pelvic floor exercises, such as Kegels, regularly to strengthen these muscles. You can do Kegels by contracting and relaxing the muscles that control urination and bowel movements.

Seek Medical Help

If you are experiencing persistent or severe symptoms of incontinence or bedwetting, seek medical help. Your healthcare provider may recommend medications, devices, or surgeries to help manage your symptoms. They can also help you develop a personalized treatment plan that suits your needs.

Use SPC Underpads to Prevent Bedtime Leaks

Using underpads or chux can be beneficial for people with bedwetting or urinary incontinence. These pads are placed on the bed or chair and can absorb moisture, preventing it from reaching the mattress or furniture. This can help protect the bed or chair from damage and reduce the need for frequent cleaning or replacement. Additionally, underpads or chux can improve the comfort and hygiene of the individual by keeping them dry and reducing the risk of skin irritation or infection. They are available in a variety of sizes and absorbency levels, making it easy to find one that meets the individual's needs.

Managing incontinence and bedwetting in diabetes patients is possible with the right strategies and support. By addressing common questions and following effective prevention strategies such as keeping blood sugar levels under control, staying hydrated, practicing good bathroom habits, strengthening pelvic floor muscles, and seeking medical help if necessary, you can improve bladder and bowel control, reduce the risk of accidents, and improve your quality of life. It is important to talk to your healthcare provider about any symptoms or concerns you may have, as they can help you develop a personalized plan for prevention and control.