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Persons with nephrogenic diabetes insipidus must consume enough fluids to equal the amount of urine produced. Any underlying cause such as high blood calcium must be corrected to treat nephrogenic diabetes insipidus. The first line of treatment is hydrochlorothiazide and amiloride. [10] Patients may also consider a low-salt and low-protein diet.
Diabetes insipidus. Diabetes insipidus ( DI) (arginine vasopressin disorder), alternately called arginine vasopressin deficiency (AVP-D) or arginine vasopressin resistance (AVP-R), [ 5] is a condition characterized by large amounts of dilute urine and increased thirst. [ 1] The amount of urine produced can be nearly 20 liters per day. [ 1]
Polyuria, nocturia, and polydipsia. Central diabetes insipidus, recently renamed arginine vasopressin deficiency (AVP-D), [ 1] is a form of diabetes insipidus that is due to a lack of vasopressin (ADH) production in the brain. Vasopressin acts to increase the volume of blood (intravascularly), and decrease the volume of urine produced.
Desmopressin. Desmopressin, sold under the trade name DDAVP among others, is a medication used to treat diabetes insipidus, bedwetting, hemophilia A, von Willebrand disease, and high blood urea levels. [1] In hemophilia A and von Willebrand disease, it should only be used for mild to moderate cases. [1]
1-797. A fluid or water deprivation test is a medical test [1] which can be used to determine whether the patient has diabetes insipidus as opposed to other causes of polydipsia (a condition of excessive thirst that causes an excessive intake of water). The patient is required, for a prolonged period, to forgo intake of water completely, to ...
Wolfram Syndrome Type 2 (WFS2) is a subtype of Wolfram Syndrome caused by a mutation in the CDGSH iron-sulfur domain-containing protein 2 gene ( CISD2 gene). CISD2 is a protein coding gene that is found on the endoplasmic reticulum (ER) and outer mitochondrial membrane. WFS2 is mainly localized in the ER, but studies have also shown that it can ...
Water follows the glucose concentration passively, leading to abnormally high urine output. In the absence of diabetes mellitus, the most common causes are the decreased secretion of aldosterone due to adrenal cortical tumor, primary polydipsia (excessive fluid drinking), central diabetes insipidus, and nephrogenic diabetes insipidus. [6]
[75] [76] It is estimated that impaired urinary concentrating ability is present in at least half of individuals on chronic lithium therapy, a condition called lithium-induced nephrogenic diabetes insipidus. [76] Continued use of lithium can lead to more serious kidney damage in an aggravated form of diabetes insipidus.