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FROM A PATIENT’s PERSPECTIVE

My Life With Diabetes Insipidus
Written by Gilbert Barr Jr.
(For The Diabetes Insipidus Foundation, Inc.)

    When people hear the word “diabetes” they first think of sugar and insulin.  When I hear the word “diabetes” I first think of water and DDAVP.  Why?  Because I suffer from a rare condition called diabetes insipidus (DI).  I believe I started experiencing early symptoms of DI in 1988 (when I was about thirty years old), although at the time I was experiencing many health changes…all for the worse.  Among such symptoms as migraine headaches, daily vomiting of mucus and blood, lack of energy, weight loss, overheating, skin problems and male sexual problems; I was also experiencing symptoms that years later were contributed to DI.  The three main symptoms of DI include extreme thirst, excessive consumption of liquids and frequent urination.  I experienced them all and then some.

     One symptom I experienced on a daily basis for the approximately three years (before my diagnosis) was extreme thirst unlike any thirst I had ever experienced before!  I felt as if I could go into a panic state if I didn’t get something to drink quickly, as I would become lightheaded and would actually start shaking.  I could not go fifteen minutes without drinking some type of liquid.  My appetite was already decreasing for other reasons but a major factor also was the fact that when I ate, the majority of my meal consisted of liquid.  If I ordered a cheeseburger with fries I might eat a fourth of the burger and five or six fries.  But yet I would drink three or four glasses of Pepsi or tea along with a pitcher of water.  Once I started drinking a glass of liquid I could not stop until it was gone, even a twenty-ounce glass, then in a few minutes I was thirsty once again.  This went on twenty-four hours a day! 

     As a result of all of the liquid I was consuming I was constantly urinating and again it was not a normal feeling I had experienced in my past.  First the frequency of my visits to the restroom started as a couple of times an hour then over the years increased to every fifteen minutes.  My urine would be completely clear.  It would also be very painful to try to hold it when it was time to go; unlike in the past where you could at least hold your need to urinate, although uncomfortable it was not painful.  This was a totally different experience!  In fact I spent over two years never sleeping more than two hours at a time due to me having to wake up to urinate then drink something (usually one of those single serving juice boxes) before going back to sleep then starting the process over within a couple of hours.  This went on for over two years!  Every single night!

     As I wrote earlier there were a lot of other health problems occurring with me during this time, but I believe other symptoms were related to my DI.  For example when I played basketball I was now not producing any sweat at all.  After a couple of games my body would get so hot and then by me being unable to sweat along with my extreme thirst, the only thing I could do was rush to the restroom and vomit.  My teeth were also decaying at a faster rate along with my current crowns coming off frequently.  In fact on two occasions as I was getting a crown put back on an unusual situation occurred as the dentist left me with cotton in my mouth allowing the cement to dry.  When he returned after about five minutes, under normal conditions I would have saliva running down my chin.  However this time when he removed the cotton and told me to spit I could not produce any saliva…none!  We both just looked at each other like we were in the twilight zone before he gave me something to rinse my mouth with!

     By this time (1991) I was not only physically drained but also mentally drained as well since no doctor up to this point (approximately five years) could find anything wrong with me.  I had now seen about seven different doctors who all ran me through the same routine for my various symptoms.  There was the complete physical, checking my sugar levels for diabetes because I had all of the symptoms even though my blood sugar levels were always OK, various blood work, MRIs and chest X-rays.  The conclusion was always the same…bad sinus problems!

   

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