Type 1 diabetes mellitus with neurological complications
ICD-10 E10.4 is a billable code used to indicate a diagnosis of type 1 diabetes mellitus with neurological complications.
Type 1 diabetes mellitus is a chronic condition characterized by the autoimmune destruction of insulin-producing beta cells in the pancreas, leading to absolute insulin deficiency. Patients with type 1 diabetes are at risk for various complications, including neurological complications such as diabetic neuropathy, which can manifest as peripheral neuropathy, autonomic neuropathy, or focal neuropathies. Neuropathy can lead to symptoms such as pain, tingling, numbness, and loss of sensation, particularly in the extremities. The management of type 1 diabetes requires careful monitoring of blood glucose levels, with an emphasis on maintaining HbA1c levels below 7% to minimize the risk of complications. Insulin therapy is essential for these patients, often requiring multiple daily injections or continuous subcutaneous insulin infusion. Neurological complications can significantly impact a patient's quality of life and may require multidisciplinary management, including pain management and physical therapy.
Detailed records of blood glucose monitoring, insulin regimen, and HbA1c levels.
Patients presenting with uncontrolled diabetes and neurological symptoms.
Ensure documentation reflects the complexity of diabetes management and associated complications.
Comprehensive assessment of neurological symptoms, including sensory and motor function tests.
Patients with diabetic neuropathy requiring pain management or rehabilitation.
Document the specific type of neuropathy and its impact on the patient's function.
Used for follow-up visits for diabetes management.
Document patient's diabetes management, HbA1c levels, and any complications.
Endocrinologists should focus on comprehensive diabetes care.
Common neurological complications include peripheral neuropathy, autonomic neuropathy, and focal neuropathies, each presenting with distinct symptoms and requiring specific management strategies.
