Type 2 Diabetes Mellitus with Other Circulatory Complications (E11.59)

Name of the Condition

• Common Name(s): Type 2 diabetes with circulatory complications
• Medical Terms: Type 2 diabetes mellitus with peripheral vascular disease

Summary

Type 2 diabetes mellitus with other circulatory complications refers to high blood sugar levels combined with issues affecting blood vessels other than the heart or brain, often leading to impaired blood circulation.

Causes

The condition arises from a combination of insulin resistance and inadequate insulin production, typically influenced by obesity, sedentary lifestyle, and genetic predisposition. Circulatory complications often result from prolonged high blood sugar leading to blood vessel damage.

Risk Factors

• Obesity
• Sedentary lifestyle
• Poor dietary habits
• Age over 45
• Family history of diabetes
• Hypertension and high cholesterol

Symptoms

• Numbness or tingling in the extremities
• Poor wound healing
• Cold hands and feet
• Fatigue and dizziness
• Intermittent claudication (leg pain during walking)

Diagnosis

• Blood tests (fasting blood sugar, HbA1c)
• Ankle-brachial index (ABI) for circulatory assessment
• Doppler ultrasound to assess blood flow
• Physical examination focusing on circulation

Treatment Options

• Medications: Metformin to control blood sugar; statins for cholesterol management; antihypertensives for blood pressure.
• Lifestyle modifications: Diet, exercise, and weight management.
• Vascular surgeries or procedures to improve circulation and relieve symptoms.

Prognosis and Follow-Up

With optimal management, individuals can maintain a good quality of life; however, ongoing monitoring is essential to prevent further complications. Regular check-ups with blood sugar and circulatory assessments are crucial.

Complications

• Peripheral artery disease
• Chronic wounds or ulcers
• Increased risk of infections
• Potential for amputation in severe cases

Lifestyle & Prevention

• Engage in regular physical activity
• Maintain a balanced diet rich in fiber and low in saturated fats and sugars
• Regular monitoring of blood sugar levels
• Smoking cessation to improve circulation

When to Seek Professional Help

Seek immediate medical attention for sudden severe leg pain, signs of infection in any wounds, or any sustained numbness or weakness in the limbs.

Additional Resources

• American Diabetes Association: diabetes.org
• National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK): niddk.nih.gov
• Diabetes Support Groups through local community organizations.

Tips for Medical Coders

• Ensure the code E11.59 is used for patients with both Type 2 diabetes and documented circulatory complications beyond typical peripheral neuropathy.
• Verify documentation explicitly notes circulatory complications before assigning this code to avoid misclassification.