Bladder dysfunction with diabetes mellitus

Diabetes can affect the bladder function in a number of different ways:

  • Glycosuria - glucose in the urine can irritate the bladder and cause urgency and frequency
  • Polyuria - passing more than three litres of fluid a day is a main symptom of both type 1 and type 2 diabetes
  • Detrusor hyperreflexia - the bladder muscle can become hyper-sensitive causing symptoms of an over overactive bladder dry/wet and often with nocturia
  • Detrusor hyporeflexia - the detrusor muscle can become hypo-contractility, causing incomplete bladder emptying, a hypotonic bladder
  • Diabetic neuropathy - due to damage to the somatic and autonomic nervous system, this causes decreased bladder sensation, increased bladder capacity and impaired detrusor contractility. This is known as diabetic cystopathy.  This will cause a hypotonic bladder
  • Risk of urinary tract infection (UTI) - caused by glucose in urine and residual urine in bladder

Share this article:

This article is from the free online course:

Understanding Continence Promotion: Effective Management of Bladder and Bowel Dysfunction in Adults

Association for Continence Advice

Get a taste of this course

Find out what this course is like by previewing some of the course steps before you join: