When Mr Scott returns to see you 2 weeks after his previous visit you review the NCAs report and concur that Mr Scott has overflow incontinence, primarily caused by urethral constriction due to benign prostatic hyperplasia.
The NCA report states that after one week of implementing the recommended voiding and behavioural strategies, Mr Scotts nocturia had improved slightly but his voiding diary indicated that he was still experiencing urgency and frequency with occasional urinary incontinence. His PVR was 300 mL, a significant improvement.
Mr Scott reports that he is now only drinking one cup of coffee each day, has stopped drinking coke and alcohol and has increased his water intake. He feels that his bladder problems are still affecting his quality of life and although he feels more confident that he can avoid embarrassing situations by using the continence pads, he still avoids social outings where possible.
His pre meal finger prick glucose readings have ranged between 6.0 and 7.2. His 2 hour post meal readings have ranged between 8.6 and 10.6.