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Diabetes insipidus - central

• Overview
• Symptoms
• Treatment
• Prevention

Alternative Names:

Central diabetes insipidus

Treatment:

The cause of the underlying condition should be treated.

Vasopressin (desmopressin) will be given either as a nasal spray, tablets by mouth, or injections under the skin. This controls the urine output and fluid balance and prevents dehydration .

In mild cases, drinking more water may be all that is needed. If the thirst mechanism is not working (for example, if the hypothalamus is damaged), a prescription for a certain amount of water intake may also be needed (usually 2-2.5 L per day) to ensure proper hydration.

Expectations (prognosis):

The outcome depends on the underlying disorder. If treated, diabetes insipidus does not cause severe problems or result in early death.

Complications:

• Dehydration
• Electrolyte imbalance
• Confusion and changes in mental status may develop if the condition is not treated.

All patients with diabetes insipidus should wear a medic alert bracelet or necklace to alert care givers to this condition in an emergency situation.

Calling your health care provider:

Call your health care provider if symptoms indicate diabetes insipidus may be present.

• Review Date: 8/8/2006
• Reviewed By: Robert Hurd, MD, Department of Biology, College of Arts and Sciences, Xavier University, Cincinnati, OH. Review provided by VeriMed Healthcare Network.

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