Type 1 diabetes mellitus
Chapter 4:Endocrine, nutritional and metabolic diseases
ICD-10 E10 is a billable code used to indicate a diagnosis of type 1 diabetes mellitus.
Type 1 diabetes mellitus (T1DM) is a chronic autoimmune condition characterized by the destruction of insulin-producing beta cells in the pancreas, leading to absolute insulin deficiency. This condition typically manifests in childhood or adolescence, although it can occur at any age. Patients with T1DM require lifelong insulin therapy to manage blood glucose levels and prevent acute complications such as diabetic ketoacidosis (DKA) and long-term complications including neuropathy, nephropathy, and retinopathy. The pathophysiology involves an autoimmune response where the body's immune system mistakenly attacks and destroys the insulin-producing cells. Diagnosis is confirmed through clinical presentation and laboratory tests, including elevated blood glucose levels and the presence of autoantibodies. Management includes regular monitoring of blood glucose levels, maintaining HbA1c levels below 7% to reduce the risk of complications, and adjusting insulin dosages based on dietary intake and physical activity. Education on carbohydrate counting and the use of continuous glucose monitors is also essential for effective management.
Thorough documentation of insulin regimen, HbA1c levels, and any complications.
Management of newly diagnosed T1DM, adjustment of insulin therapy, and treatment of diabetic complications.
Ensure accurate coding of complications and comorbidities, as these can significantly impact treatment plans.
Detailed growth and development assessments, family history, and psychosocial factors.
Diagnosis of T1DM in children, management of insulin therapy, and education for families.
Consider age-specific guidelines and the impact of diabetes on growth and development.
Used for routine follow-up visits for T1DM management.
Document patient history, examination findings, and management plan.
Endocrinologists may require more detailed documentation of diabetes management.
Type 1 diabetes is an autoimmune condition leading to insulin deficiency, while Type 2 diabetes is primarily due to insulin resistance. Type 1 typically requires insulin therapy from diagnosis.
