Pre-existing type 1 diabetes mellitus, in pregnancy, third trimester
ICD-10 O24.013 is a billable code used to indicate a diagnosis of pre-existing type 1 diabetes mellitus, in pregnancy, third trimester.
Pre-existing type 1 diabetes mellitus in pregnancy presents unique challenges, particularly in the third trimester. Women with this condition require meticulous management to maintain optimal glycemic control, as fluctuations in blood glucose levels can significantly impact both maternal and fetal health. During the third trimester, the risk of complications such as preeclampsia, fetal macrosomia, and neonatal hypoglycemia increases. Insulin therapy is often adjusted to accommodate the physiological changes of pregnancy, including increased insulin resistance. Regular fetal monitoring is essential, including ultrasound assessments to evaluate fetal growth and well-being, as well as non-stress tests to monitor fetal heart rate patterns. Education on dietary management and the importance of consistent blood glucose monitoring is crucial for these patients. Coordination of care among obstetricians, endocrinologists, and dietitians is vital to ensure comprehensive management throughout the pregnancy.
Documentation must include detailed records of blood glucose monitoring, insulin therapy, and any complications arising during pregnancy.
Management of labor and delivery in patients with type 1 diabetes, including potential for cesarean delivery due to fetal macrosomia.
Consideration of the patient's pre-pregnancy health status and any existing diabetes-related complications.
High-risk pregnancy documentation must include comprehensive assessments of fetal growth and maternal health.
Monitoring for signs of preeclampsia and fetal distress during labor.
In-depth evaluation of fetal well-being and potential interventions based on maternal glucose levels.
Used for routine follow-up visits for diabetic management during pregnancy.
Documentation must include a review of blood glucose logs and any changes in insulin therapy.
Obstetricians should collaborate with endocrinologists for comprehensive care.
Key considerations include documenting the patient's diabetes management, any complications that arise, and ensuring that the correct trimester is noted. It's also important to differentiate between pre-existing diabetes and gestational diabetes.
