Bedwetting-Diabetes Link

Research
Diabetes should be ruled out in children who have increased toileting and bedwetting, according to a new study from Southampton Children’s Hospital, UK. In their study of 261 children aged 18 months to 16 years, 33 percent had been seen by “multiple doctors” before receiving the proper Type-1 diabetes diagnosis. Symptoms of weight loss, fatigue, along with heavy wet diapers and increased toileting were presenting symptoms. Often, the children were less than 2 when the diagnosis was made. Of course, wet diapers and bedwetting at night are normal in this age group.

Practical Tips
In any child with new onset bedwetting, a simple urine test that is done in the pediatrician’s office can quickly rule out diabetes (looking for glucose in the urine) or urinary tract infections that could be contributing to bedwetting. I recommend that any child who has been dry at night, then suddenly begins bedwetting, has a simple urine test to make sure there is not diabetes or infection. The majority of the time, this test will be normal but it’s important to rule these things out. Of course, even if your child has always had bedwetting, but you notice new weight loss, fatigue or increased amounts of urine, get their urine checked.

Bedwetting in children with known Type 1 Diabetes
Children with Type 1 Diabetes, which is now under control, will sometimes continue to struggle with bedwetting. Bedwetting alarms can help this group of children become dry by helping them become aware of when the wetting occurs and putting that feeling together with getting up to urinate in the bathroom. Choose a time to introduce the alarm when their diabetes is stable and there are fewest family stressors.

Success Matters! Learn Why Families Who Buy at the Bedwetting Store are more Successful

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NEW! Dry-Me Bed-Mat Bedwetting Alarm

We now have a NEW Dry-Me Bed-Mat Alarm to add to our selection of Bell and Pad Alarms. Some children prefer not having an alarm attached to their shoulder or underwear. Using a Bed-Mat alarm is a perfect solution for these children who are ready to become dry. The specialized plastic mat lies under the child, but on top of the sheet. A folded sheet or large towel covers the plastic mat to hold it in place, makes it more comfortable and decreases sensing of any sweating.

The inexpensive Dry-Me Bed-Mat combines the durability and features of the wearable Dry-Me alarm with the usability of the Malem Bed-Mat. When the first drop of urine is sensed on the pad, the alarm unit sounds and vibrates. The alarm unit is clipped to the child’s pillow or head of the bed, so it can be readily heard no matter what the sleep position. The built-in alarm vibration adds another stimulus to alert the child. To turn off the alarm, simply disconnect the sensor pad and press the reset button.

Some tips when using a Bed-Mat Alarm:

Make sure your child sleeps directly over the bed-mat. If they sleep in a full or queen size bed, block off part of the bed so they don’t roll over to the uncovered side.

Do not attach the alarm unit to your child. When using the Dry-Me with a Bed-Mat sensor, attach the alarm to the pillow or top of the bed. Tuck the extra cord length under the folded sheet or towel.

If your child sweats heavily while sleeping, use fewer blankets, a cooler room and lighter pajamas. Sweat could cause a false alarm to occur. A towel over the plastic mat can help.

The less clothes your child wears, the more quickly the urine drops will be sensed. A baggy t-shirt or nightgown could be used.

Static electricity, caused by dry air and acrylic or synthetic fibers, can cause a false alarm. Use cotton blankets and leave stuffed animals out of the bed.

Follow these tips and have success with this NEW Dry-Me Bed-Mat Alarm. Remember that most children need their parents’ help to get up when the alarm sounds in the beginning.

Success Matters! Learn Why Families Who Buy at the Bedwetting Store are more Successful

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Summer is Best Time to Use Bedwetting Alarm

A small retrospective study from Japan finds that children who use bedwetting alarms in the summer are more successful than those who use them in the winter. The authors had empirically observed that bedwetting worsens in the winter season and they decided to research this. The 67 participants used the alarm for 4 months and were divided into treatment success and treatment failure groups and then analyzed as to the time of year they used the bedwetting alarm.

Initiation of treatment in the winter season, December through April, was a variable associated with treatment failure. Summer success rate was 68% versus winter success rate of 38%. (Of note, the dropout rate was 8.9% and these children were added to the failure group. No mention was made as to how long they used the alarm before they dropped out.)

WHY

Hypotheses of why these results occurred include more urine production during one season, parents and children’s work/holiday schedule and the role of the circadian clock and length of daylight and nighttime hours.

-There was no urine volume difference across the seasons so NO greater urine production at different times of the year.

-Children in Japan only have summer holiday of 1 month, in August, and parents’ summer holidays are less than 1 week. They could have initiated the alarm use during holiday, but completed it during the school year. They did mention that alarm use extended between the traditional 3 month seasons in some cases.

-We aren’t certain how the circadian clock affects the brain, bladder and kidney regulation of water and electrolytes, but this is something that might be a clue to the results.

INTERESTING RESULTS

Many families in the US do choose to begin bedwetting alarm use in the summer and according to this study, are doing the right thing. Parents site a more relaxed schedule, without the school and study obligations, as the main reason for using the alarm at this time of the year. Sleepovers and camps are activities their kids want to enjoy during the summer as well.

So, if your child is school age, and still wets most nights, NOW appears to be the right time of the year to start using a bedwetting alarm in order to be the most successful.

Success Matters! Learn Why Families Who Buy at the Bedwetting Store are more Successful

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