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Diabetes Ups Urinary Infection Risk in Older Women
Diabetes Ups Urinary Infection Risk in Older Women -- Posted by Gumbo on 04-30-05 07:57
Diabetes Ups Urinary Infection Risk in Older Women
Rates of urinary tract infection (UTI) are higher among postmenopausal women
with diabetes than among those without diabetes.
Dr. Edward J. Boyko, of the University of Washington, Seattle, and
colleagues tracked the health of 218 diabetic and 799 non-diabetic women
between the ages of 55 and 75 years from 1998 to 2002. Women's reports of a
UTI were confirmed by microbiological culture and medical record review.
A total of 71 non-diabetic and 26 diabetic women developed UTI during
follow-up, which translated to a rate equivalent to 6.7 and 12.2 infections
per 100 persons per year, respectively.
That meant the women with diabetes had an 80 percent higher risk.
Further analysis showed that the increased risk for UTI was highest for
women taking insulin and in those with a longer duration of diabetes.
Boyko commented that, "These characteristics were also good predictors of
other diabetes complications such as (retina damage) or kidney disease."
"We did not find an association between recent glucose control ... and risk
of urinary tract infection," Boyko said. "This finding suggests that urinary
tract infection may be due to long-term effect of high glucose as opposed to
a shorter-term exposure to high glucose."
The team also investigated whether residual urine in the bladder after
voiding explained the difference in risk of UTI in diabetic women, "since
the nerve damage that may occur in diabetes leads to impaired emptying of
the bladder," Boyko explained.
However, "Although diabetic women had a greater post-void residual bladder
volume on average than the non-diabetic women, we found that this difference
did not explain the higher risk of UTI associated with diabetes."
American Journal of Epidemiology, March 15, 2005.
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