Type 1 diabetes mellitus with kidney complications
ICD-10 E10.2 is a billable code used to indicate a diagnosis of type 1 diabetes mellitus with kidney complications.
Type 1 diabetes mellitus is a chronic condition characterized by the body's inability to produce insulin due to autoimmune destruction of pancreatic beta cells. When diabetes is poorly managed, it can lead to various complications, including diabetic nephropathy, which is a progressive kidney disease resulting from damage to the blood vessels in the kidneys. This condition is often indicated by the presence of albumin in the urine and can lead to end-stage renal disease if not properly managed. Patients with E10.2 typically have elevated HbA1c levels, indicating poor glycemic control, and may require intensive insulin management to stabilize blood glucose levels. Regular monitoring of kidney function through serum creatinine and urine tests is essential to assess the progression of kidney complications. The management of type 1 diabetes with kidney complications involves a multidisciplinary approach, including endocrinologists, nephrologists, and dietitians, to optimize glycemic control and minimize further renal damage.
Detailed records of HbA1c levels, insulin regimens, and diabetes management plans.
Patients presenting with uncontrolled diabetes and signs of nephropathy.
Ensure documentation reflects the severity of diabetes and any renal impairment.
Comprehensive renal function tests, including serum creatinine and urine albumin levels.
Patients with diabetic nephropathy requiring dialysis or renal transplant evaluation.
Document the stage of kidney disease and any interventions performed.
Used to monitor glycemic control in patients with type 1 diabetes.
Document the date of the test and the results.
Endocrinologists should ensure that A1c levels are regularly monitored.
Used for obtaining blood samples for kidney function tests.
Document the reason for blood draw and any relevant patient history.
Nephrologists should ensure that blood tests are linked to diabetes management.
HbA1c levels are crucial for assessing long-term glycemic control in patients with type 1 diabetes. Elevated levels indicate poor control, which can exacerbate kidney complications. Regular monitoring helps guide treatment adjustments.
Patients with E10.2 should have their kidney function monitored at least annually, or more frequently if there are signs of deterioration or if they have other risk factors for kidney disease.
