What Causes Fever in People With Diabetes?
Fever is often a sign of infection somewhere in the body. It is an important immune system function that sometimes serves to kill the invading organism. People with diabetes are prone to several types of infection. It is important for a person with diabetes to seek treatment for infection or a chronic fever of unknown origin, as an acute illness can make diabetes more difficult to manage.
Cystitis
The Merck Manual for Healthcare Professionals notes that people with diabetes have an increased risk for urinary tract infections. The severity of this type of infection is often worse in people with diabetes than that found in a person without diabetes. Often, a urinary tract infection affects the bladder, a condition called cystitis. A low-grade fever may develop with cystitis and other urinary tract infections. Treatment typically consists of oral antibiotics. Merck indicates that a person with diabetes may need a longer course of treatment.
- The Merck Manual for Healthcare Professionals notes that people with diabetes have an increased risk for urinary tract infections.
- A low-grade fever may develop with cystitis and other urinary tract infections.
Oral Thrush
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Thrush is a yeast infection that occurs in moist areas of the body, such as the mouth. MedlinePlus, a website maintained by the National Institutes of Health, indicates that a person with diabetes is at increased risk of getting thrush in the mouth because elevated glucose levels in saliva serve as food for the yeast. Oral thrush may cause a low-grade fever, explains the text, "Medical-Surgical Nursing." A prescription anti-fungal mouth rinse or lozenge is often prescribed to treat oral thrush.
- Thrush is a yeast infection that occurs in moist areas of the body, such as the mouth.
- MedlinePlus, a website maintained by the National Institutes of Health, indicates that a person with diabetes is at increased risk of getting thrush in the mouth because elevated glucose levels in saliva serve as food for the yeast.
Infected Foot Ulcer
Foot problems are a serious concern for people with diabetes. They can easily develop because of a combination of poor circulation and nerve damage that allows a minor problem to become worse. Foot ulcers can easily become infected, characterized by redness, foul-smelling drainage or dead tissue. A fever may be present, but sometimes a diabetic will not have a fever despite infection in a foot ulcer because the poor circulation doesn't promote the body's natural defenses. Treatment for an infected foot ulcer often consists of antibiotics, topical medication and frequent dressing changes. The doctor may have to cut away dead tissue or eventually amputate the foot if treatment is unsuccessful.
- Foot problems are a serious concern for people with diabetes.
- They can easily develop because of a combination of poor circulation and nerve damage that allows a minor problem to become worse.
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References
- "Medical-Surgical Nursing"; Donna Ignatavicius, M.S., R.N. and Linda Workman, Ph.D., R.N.; 2002
- The Merck Manual for Online Professionals: Bacterial Urinary Tract Infections
- MedinePlus: Thrush
- Milton S. Hershey Medical Center: Diabetic Foot Ulcers
- American Academy of Pediatrics. Thrush and Other Candida Infections. Updated November 21, 2015.
- Centers for Disease Control and Prevention. Candida infections of the mouth, throat, and esophagus. Updated April 12, 2019.
- Centers for Disease Control and Prevention. Candida Infections of the Mouth, Throat, and Esophagus. Updated December 17, 2019.
- Hoare A, Marsh PD, Diaz PI. Ecological therapeutic opportunities for oral diseases. Microbiology Spectrum. 2017;5(4):10.1128/microbiolspec.BAD-0006-2016. doi:10.1128/microbiolspec.BAD-0006-2016.
- MedlinePlus. Thrush—Children and Adults.
- Pappas PG, Kauffman CA, Andes DR, et al. Clinical practice guideline for the management of candidiasis: 2016 update by the Infectious Diseases Society of America. Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America. 2016;62(4):e1-e50. doi:10.1093/cid/civ933.
Writer Bio
J. Lucy Boyd, RN, BSN has written several nonfiction books including "The Complete Guide to Healthy Cooking and Nutrition for College Students." She is frequently called upon to provide career guidance to medical professionals and advice to parents of children with challenges. She also loves teaching others to cook for their families.