diagnosed with a kidney infection a week ago. had to return to my doctor 3 days later and got different antibiotics. nearly finshed the course have improved but still feel the urge to wee all the time. because i am an insulin diabetic my doc said it will take longer to recover. am i expecting to be better too quick. 44 yrs old female
Hi, welcome to the ehealth forum and I am glad to help you.
You seem concerned by the urinary tract infection and its treatment taking long in the backdrop of diabetes mellitus.
Patients with diabetes mellitus (DM) have a higher prevalence of asymptomatic bacteriuria (ASB) and incidence of urinary tract infections (UTIs) compared with patients without DM. Women with both ASB and DM had lower urinary cytokine and leukocyte concentrations than women with ASB without DM. It has been found that E. Coli(the most common cause of UTI) expressing type 1 fimbriae adhere better to uroepithelial cells of women with DM compared with those isolated from women without DM. There are no randomised trials that answer the question as to the optimal duration of treatment for UTIs in diabetic patients. It has been recommended to consider these patients as having a complicated UTI and therefore to treat them for a period of 7-14 days. That is why your doctor has told you to wait for some time. If the problem still persists, you may go for repeat urine culture and sensitivity and appropriate change of antibiotics but I hope that might not be required.
You must continue follow up with your doctor and adhere to the treatment as advised.
Hope this helps. Take care.
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