Central Diabetes Insipidus Labs

Central di the most common form of diabetes insipidus is caused by insufficient levels of circulating antidiuretic hormone adh.

Central diabetes insipidus labs. The causes clinical manifestations and treatment of polyuria due to central or nephrogenic diabetes insipidus di are presented separately. There are many possible causes of this. J clin endocrinol metab. If you have mild diabetes insipidus you may only need to increase your water intake.

Damage to the pituitary gland or hypothalamus from surgery a tumor a head injury or an illness can cause central diabetes insipidus by affecting the usual production storage and release of adh. Maghnie m altobelli a di iorgi n genovese e meloni g manca bitti ml et al. 1 2 ndi which can be either inherited or acquired is clinically indistinguishable from the central diabetes insipidus. You get this when damage to your hypothalamus or pituitary gland affects how your body makes or puts out vasopressin.

Nephrogenic di however is characterized by defective renal adh receptors in the kidneys. Diabetes insipidus di is a condition in which the kidneys are unable to concentrate urine. If the urine has a specific gravity of 1 005 or less then this can indicate the presence of this health condition. Central diabetes insipidus the most common form happens when the brain doesn t release enough adh.

Nephrogenic diabetes insipidus ndi is characterized by a lack of response of the distal nephron to the antidiuretic hormone avp arginine vasopressin. This can be caused by damage to the pituitary gland or the hypothalamus a section of the brain near the pituitary gland. Reduction of fluid has little effect on the concentration of the urine. Your kidneys remove too much fluid from your body.

There are four types of di each with a different set of causes. What do the diabetes insipidus lab values mean. The hypothalamus produces adh and other hormones and controls their release. If the condition is caused by an abnormality in the pituitary gland or hypothalamus such as a tumor your doctor will first treat the abnormality.

See clinical manifestations and causes of central diabetes insipidus see clinical manifestations and causes of nephrogenic diabetes insipidus see treatment of central diabetes insipidus. Complications may include dehydration or seizures. Idiopathic central diabetes insipidus is associated with abnormal blood supply to the posterior pituitary gland caused by vascular impairment of the inferior hypophyseal artery system. As a consequence the kidneys fails to concentrate urine.

Urinary osmolality that is less than 200 mosm kg is also a strong indicator of the presence of diabetes insipidus. The first is the measurement of specific gravity. Diabetes insipidus di is a condition characterized by large amounts of dilute urine and increased thirst.