The distribution of UI types among diabetic women is an
unexpected finding. Urge incontinence is significantly less
pronounced in diabetic women, where we would expect
that it should be more prevalent because of the diabetic
microvascular damage involvement in its etiology. Although
we do not have any information on duration of DM (see
“Limitations of the study”), it can be argued that most
diabetic women were not in an advanced stage of the
condition because of the high proportion of oral antidiabetic
therapy. This conclusion might also be biased
because there is a proven underuse of insulin therapy
worldwide. In that case especially, diabetic microvascular
complications are not expected to be very prevalent because
they are more likely to occur after prolonged disease duration
of more than 8 years according to the “ADA consensus
committee report references”