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Lower urinary tract dysfunction in the diabetes population: endocrinologists knowledge base and clinical practice

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Many diabetic patients experience lower urinary tract symptoms (LUTS), but healthcare providers often do not assess or manage them. Integrating LUTS screening into diabetes care is crucial for improving patient outcomes.

Keywords:
Benign prostatic hyperplasiaBladderDiabetesKnowledge baseLower urinary tract symptomsPolyuriaPractice patterns

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Area of Science:

  • Endocrinology
  • Urology
  • Public Health

Background:

  • Lower urinary tract symptoms (LUTS) are prevalent in patients with diabetes.
  • Current diabetes guidelines lack specific recommendations for LUTS assessment and management.
  • Diabetes can exacerbate existing urinary issues.

Purpose of the Study:

  • To explore the prevalence of LUTS in patients with diabetes.
  • To assess the current management practices of LUTS by healthcare professionals in diabetic patients.

Main Methods:

  • A cross-sectional study involving surveys of healthcare professionals and patients in Irish diabetes clinics.
  • Healthcare professional surveys assessed awareness and management practices of LUTS in diabetic patients.
  • Patient surveys evaluated LUTS prevalence and discussion with providers among type 1 (T1DM) and type 2 diabetes (T2DM) patients.

Main Results:

  • 88% of healthcare professionals were aware of increased LUTS prevalence in diabetes, but only 19% routinely inquired about symptoms.
  • 55.8% of T1DM and 71.1% of T2DM patients reported LUTS.
  • Only 33% of T1DM and 40% of T2DM patients discussed LUTS with their providers; age correlated with symptom severity.

Conclusions:

  • A significant gap exists in recognizing and managing LUTS in diabetic patients.
  • Routine LUTS assessment and interdisciplinary collaboration are needed to improve patient outcomes and quality of life.
  • Integrating urological care into diabetes management protocols is recommended to address this complication.