Pre-existing type 1 diabetes mellitus, in pregnancy, first trimester
ICD-10 O24.011 is a billable code used to indicate a diagnosis of pre-existing type 1 diabetes mellitus, in pregnancy, first trimester.
Pre-existing type 1 diabetes mellitus in pregnancy poses significant risks to both the mother and fetus, particularly during the first trimester when organogenesis occurs. Women with type 1 diabetes must maintain strict glycemic control to minimize the risk of congenital anomalies, miscarriage, and other complications. Insulin management is crucial, as these patients may require adjustments in their insulin regimen due to hormonal changes that affect insulin sensitivity. Regular monitoring of blood glucose levels is essential, and healthcare providers often recommend continuous glucose monitoring (CGM) for better management. Fetal monitoring is also critical, as it helps assess fetal well-being and detect any potential complications early. The first trimester is a vital period for establishing a care plan that includes dietary modifications, exercise, and frequent consultations with a multidisciplinary team, including obstetricians, endocrinologists, and dietitians.
Documentation must include detailed accounts of diabetes management, including insulin types, dosages, and frequency of monitoring.
Management of diabetes during routine prenatal visits, adjustments in insulin therapy, and monitoring for complications.
Consideration of the patient's pre-pregnancy health status and any complications arising from diabetes.
High-risk pregnancy documentation must include comprehensive assessments of fetal growth and development, as well as maternal health.
High-risk consultations, ultrasound evaluations for fetal anomalies, and assessments of placental function.
Focus on the potential for congenital anomalies and the need for specialized monitoring.
Used for initial prenatal visits for patients with pre-existing diabetes.
Documentation must include a comprehensive history, physical examination, and management plan.
Obstetricians should ensure that all diabetes-related management is clearly documented.
Key considerations include ensuring accurate documentation of the patient's diabetes management, understanding the implications of type 1 diabetes on pregnancy, and maintaining clear records of any complications or adjustments in treatment.
