Management
Treatment of UTI in patients with type 2 diabetes depends
on several factors, including: presence of symptoms, if infection
is localized in the bladder (lower UTI) or also involves
the kidney (upper UTI), presence of urologic abnormalities,
severity of systemic symptoms, accompanying metabolic
alterations, and renal function.8
As a general rule, treatment
of UTI in diabetic patients is similar to that of UTI in nondiabetic
patients. Antibiotic choice should also be guided
by local susceptibility patterns of uropathogens. Treatment
should also involve correction of metabolic complications
caused by the infectious process. First-line treatment options
for various types of UTI are detailed in Table 1.