Type 1 diabetes mellitus with ketoacidosis without coma
ICD-10 E10.10 is a billable code used to indicate a diagnosis of type 1 diabetes mellitus with ketoacidosis without coma.
Type 1 diabetes mellitus is characterized by the autoimmune destruction of insulin-producing beta cells in the pancreas, leading to absolute insulin deficiency. Ketoacidosis is a serious complication that arises when the body starts breaking down fat at an excessive rate, producing ketones that accumulate in the blood, resulting in metabolic acidosis. In cases of E10.10, the patient presents with ketoacidosis but does not experience a coma, indicating that while the condition is severe, it has not progressed to a life-threatening state. Management typically involves the administration of insulin to correct hyperglycemia and electrolyte imbalances, along with fluid replacement. Monitoring of blood glucose levels and HbA1c is crucial, as elevated levels can indicate poor long-term glycemic control, increasing the risk of complications such as neuropathy, nephropathy, and retinopathy. Regular follow-ups and adjustments in insulin therapy are essential to prevent recurrent episodes of ketoacidosis.
Detailed records of insulin therapy, blood glucose monitoring, and HbA1c levels.
Management of acute diabetic ketoacidosis and long-term diabetes care.
Ensure clear documentation of the patient's diabetes type and any complications.
Immediate assessment of blood glucose levels, ketone levels, and vital signs.
Patients presenting with symptoms of ketoacidosis such as nausea, vomiting, and abdominal pain.
Accurate documentation of the patient's mental status and response to treatment.
Used for patients presenting with severe diabetic ketoacidosis.
Document presenting symptoms, vital signs, and treatment provided.
Emergency medicine specialists should ensure thorough documentation of the patient's condition.
E10.10 is used for type 1 diabetes with ketoacidosis without coma, while E10.11 is for cases where the patient is in a coma due to ketoacidosis.
