Thrush

[Lesley's]

Hi I've had episodes of vaginal yeast infections on and off now for over a yr..the tab I'm taking apparently pees out the sugar..I've read that some people use a barrier cream has anybody on here tried this pls TIA lesley

 

[EBe66]

Not my area of expertise , but I know people drink kefir (homemade, not the supermarket stuff) to help with this.
It apparently works because of certain bacteria in it. Other people apply it to the affected area where it works because it's pretty acid.
No first hand knowledge though...

 

[Oldvatr]

One thing I learnt when in school biology lessons some 60 years ago is that women's wee has to be acidic, mens is alkaline.

The opening paragraph is the nugget of info that may help.

Atropine, hyoscyamine, methenamine, methylene blue, phenyl salicylate, and benzoic acid (oral route) - Side effects & dosage

www.mayoclinic.org

There are different types of Thrush, some bacterial, some viral. If it is candida albicans then a cream containing clotrrimazole can be applied. These remedies are OTC and do not need prescription.

But sometimes these infection require antibiotics such as Deflucane to deal with it. It is not a good idea to let these things fester. They start mild, but if they reach the kidneys, then they can become quite serious.

 

[Antje77]

There are different types of Thrush, some bacterial, some viral.

I think the ones most commonly caused by peeing sugar are fungal.
It was my main symptom before diagnosis.

For me topical cream worked much better than the vaginal tablets. Which makes sense because the thrush wasn't caused from within.
It also helped to rinse with lukewarm water after every time I peed.

 

[Lesley's]

I think the ones most commonly caused by peeing sugar are fungal.
It was my main symptom before diagnosis.

For me topical cream worked much better than the vaginal tablets. Which makes sense because the thrush wasn't caused from within.
It also helped to rinse with lukewarm water after every time I peed.

Yes ur right there it's so annoying I've stopped using anything perfumed and as u say rinse after peeing where possible. My prob also is after a cancer OP 2 yrs ago I'm left with slight incontinence..its so depressing

 

[Lesley's]

I think the ones most commonly caused by peeing sugar are fungal.
It was my main symptom before diagnosis.

For me topical cream worked much better than the vaginal tablets. Which makes sense because the thrush wasn't caused from within.
It also helped to rinse with lukewarm water after every time I peed.

May I ask wht cream u used as I've tried canestan and sudocream pls

 

[Antje77]

Have you discussed if your diabetes medication is the right one for you with your doctor or diabetes nurse?
There are lots of different medications, and not all make you pee sugar.
You may also be able to improve your diabetes with dietary changes and a lighter medication. Not all medications suit all of us.

May I ask wht cream u used as I've tried canestan and sudocream pls

I used the Canesten with clotrimazol, which is the one for fungal infections.
But I do urge you to speak with your HCP, continuous recurring thrush is horrible and to me it makes more sense to see if something can be done about the cause than endless symptom treatment without your doctor even being aware what a hard time you're having due to side effects.

 

[AndBreathe]

May I ask wht cream u used as I've tried canestan and sudocream pls

My stear would be that you treat your thrush with the usual stuff - Canestan, cream and pessary. If you have a partner, then they should be treated at the same time - even if they have no signs or symptoms of thrush. Thrush bugs can lie dormant, with symptoms and be passed back and forth like ping-pong.

 

[OB87]

Yes I agree with the above, treat it with a pessary and cream. How are your blood sugars? Reoccurring thrush was what led me to my original diagnosis is 2020. When I got blood sugars under control I've not had thrush since

 

[AndBreathe]

Yes I agree with the above, treat it with a pessary and cream. How are your blood sugars? Reoccurring thrush was what led me to my original diagnosis is 2020. When I got blood sugars under control I've not had thrush since

Some medications (which the OP mentions taking) heighten the chances of developing thrush. A bit like Metformin and toileting, not everyone has the same reaction, although it is a decent shout to try to keep the blood sugars neat.

 

[Lesley's]

Thank you so much..yes this is the 3rd tablet I've tried and I'm desperately trying to cut down carbs..I've also tried tht cream u had

Have you discussed if your diabetes medication is the right one for you with your doctor or diabetes nurse?
There are lots of different medications, and not all make you pee sugar.
You may also be able to improve your diabetes with dietary changes and a lighter medication. Not all medications suit all of us.

I used the Canesten with clotrimazol, which is the one for fungal infections.
But I do urge you to speak with your HCP, continuous recurring thrush is horrible and to me it makes more sense to see if something can be done about the cause than endless symptom treatment without your doctor even being aware what a hard time you're having due to side effects.

Yes I agree with the above, treat it with a pessary and cream. How are your blood sugars? Reoccurring thrush was what led me to my original diagnosis is 2020. When I got blood sugars under control I've not had thrush since

Ty my blood sugars are about 9 but I'm just on this tablet tht pees out sugar now for the 10th day and the thrush has come bk

 

[plantae]

Before I was diagnosed with T3 I took myself to hospital four times with the male equivalent (maybe it's called thrush as well, I dunno) insisting that I was convinced that I had diabetes (BSL on admission every time were over 18 mmol/L fasting). It was not fun. I was on fluid balance so peeing into a bottle... not easy when you can't even pee into a giant toilet let alone a bottle.

Anyway, enough of the history. Once my BSL were under control it took 4 weeks on one kind of cream and another 3 weeks on another type of cream for it to clear up. It did clear up though. I'm not sure if I'm still peeing sugar though. Probably not because before insulin my kidneys, lungs, skin, were trying everything to get rid of excess sugar. Once on insulin that must have abated.... it still took a long time though. Stick with the treatment(s)

 

[Oldvatr]

When our blood sugar levels are below 10 mmol/l our kidneys actively work to preserve glucose, and recycle it for storage. Above 10 mmo;/l (approx) we start to pee it out anyway. some medications lower this threshold a little, but it is self adjusting, so reduces in effect as our glucose levels drop.

So to control the risk of thrush, it is best to reduce glucose levels by diet and lifestyle if we can. If you don't have the sugar to start off with, then you have less chance of developing a UTI.

As a fellow male sufferer following Forxiga prescription, I too was given ointment to apply, which, being male, is not so easy. I developed bladder infection that the creams simply did not reach, and ended up on deflucane which is a fearful severe treatment with a list of side effects and risks that ran to two pages on the patient leaflet. Got the beggar though and have not had any recurrence mow my sugars are in control.

 

[finzi1966]

I think I’m correct in saying that our usually renal threshold for glucose is around 10mmol, but Forxiga (dapaglifozin) and empaglifozin reduce this to around 7mmol. So if you can get your BG to below 7 by cutting carbs, the problem should ease. If you struggle to do that, and the thrush is intolerable, it may be time to discuss with your GP about trying something different.

I’ve been on Forxiga since 2014. It’s only caused me problems with thrush when my diabetes became poorly controlled during lockdown (HbA1c up to 64, representing an average BG of around 10mmol, at the time. My BGs currently average 6.1mmol, and I no longer have any issues)

 

[Oldvatr]

I think I’m correct in saying that our usually renal threshold for glucose is around 10mmol, but Forxiga (dapaglifozin) and empaglifozin reduce this to around 7mmol. So if you can get your BG to below 7 by cutting carbs, the problem should ease. If you struggle to do that, and the thrush is intolerable, it may be time to discuss with your GP about trying something different.

I’ve been on Forxiga since 2014. It’s only caused me problems with thrush when my diabetes became poorly controlled during lockdown (HbA1c up to 64, representing an average BG of around 10mmol, at the time. My BGs currently average 6.1mmol, and I no longer have any issues)

As an adjunct, if you do manage to get your bgl below that 7mmol/l threshold, then you will no longer benefit from the medication.