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Q: My fiancι is very thirsty all the time. He urinates frequently and complains that his tongue is swollen and his mouth is dry. Could he have diabetes?
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The Trusted Source
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Howard LeWine, M.D.

Howard LeWine, M.D., is chief editor of Internet Publishing, Harvard Health Publications. He is a clinical instructor of medicine at Harvard Medical School and Brigham and Women's Hospital. Dr. LeWine has been a primary care internist and teacher of internal medicine since 1978.

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March 01, 2010
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A:

Yes, diabetes mellitus (sugar diabetes) is my initial concern with these symptoms.

A simple finger prick for a blood sugar test will likely provide the diagnosis.

If the blood sugar is 200 or higher, then he has diabetes. If it is less than 100, he will need to consider other reasons for his symptoms. For blood sugar in the 101 to 199 zone, know that diabetes becomes more likely as the level gets closer to 200.

Less common causes for these symptoms:

  • Diabetes insipidus
    The kidneys can't hold onto water because of abnormally low levels of anti-diuretic hormone.
  • High blood calcium level (hypercalcemia)
    The kidney needs to put out a lot of extra water to deal with the extra calcium.
  • Medications, mouth breathing or low saliva production can lead to a very dry mouth
    Dry mouth can lead to excessive fluid intake, which increases how much urine the kidneys make.
  • Kidney disease
    In some types of kidney diseases, the kidneys can't hold on to water properly. Thirst is the way we prevent dehydration.
  • An abnormal craving for water (called psychogenic polydipsia)
    People with this rare disorder drink huge amounts of water all the time. They actually can temporarily damage their kidneys.
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