Tomar agua sirve más que solo para quitar la sed, la hidratación importa y mucho!, estés entrenando o no, mantenerte hidratado es fundamental para gozar de una buena salud.⠀⠀⠀⠀⠀⠀⠀⠀⠀
Happy Easter to everyone celebrating today! In honor of all the people who will be in sugar comas today, I’m going to talk about a form of diabetes that has nothing to do with insulin.
Diabetes insipidus (DI) is an endocrine disorder that involves the underproduction of antidiuretic hormone (ADH). Less ADH causes a person to urinate more, usually 4-24 L per day.
Causes include: the kidneys are not responsive to ADH, there is damage to the hypothalamus or pituitary gland in the brain (think about this in patients with brain trauma!), tumors, drugs, and pregnancy.
Other signs/symptoms besides increased urination include increased thirst, dry mucous membranes and decreased skin turgor (signs of dehydration), diluted urine with a very low specific gravity, hypotension, fatigue, and hypernatremia.
Inpatient management of DI includes strict I/Os, daily weights, and electrolyte monitoring. Foods that cause additional diuresis will be limited (watermelon, grapes, garlic, and diuretics like tea and coffee). The provider may order chlorpropamide in mild cases, which increases levels of ADH. This drug may cause hypoglycemia and increased sensitivity to the sun. For extreme cases, desmopressin may be prescribed. Considerations with this drug include: watch for hyponatremia and water intoxication.