Name of the Condition

• Common names: Type 2 Diabetes with Hyperglycemia
• Medical terms: Type 2 Diabetes Mellitus with Hyperglycemia, ICD Code E11.65

Summary

Type 2 diabetes mellitus with hyperglycemia is a chronic condition characterized by high blood sugar levels due to insulin resistance. It is a subtype of diabetes where the body's cells do not respond properly to insulin, leading to increased blood glucose levels.

Causes

Type 2 diabetes with hyperglycemia often results from a combination of genetic and environmental factors. These may include poor diet, lack of physical activity, obesity, and family history of diabetes.

Risk Factors

• Being overweight or obese
• Sedentary lifestyle
• Poor dietary habits
• Age, especially over 45 years
• Family history of diabetes
• History of gestational diabetes
• Polycystic ovary syndrome (PCOS)

Symptoms

Patients may experience frequent urination, excessive thirst, increased hunger, fatigue, blurred vision, slow-healing wounds, and tingling or numbness in extremities.

Diagnosis

Diagnosis typically involves blood tests such as the fasting blood sugar test, oral glucose tolerance test, or A1C test, which measure blood glucose levels to confirm diabetes and assess the severity of hyperglycemia.

Treatment Options

• Lifestyle modifications: healthy eating and weight loss
• Regular physical activity
• Medications: metformin, sulfonylureas, insulin injections, or other hypoglycemic agents to help control blood sugar levels
• Ongoing monitoring of blood glucose levels

Prognosis and Follow-Up

With proper management, individuals can maintain good health and reduce the risk of complications. Regular follow-up appointments are essential to monitor blood sugar levels and assess the effectiveness of treatment plans.

Complications

If left untreated or poorly managed, complications can include cardiovascular disease, neuropathy, nephropathy, retinopathy, and increased risk of infections.

Lifestyle & Prevention

Adopting a balanced diet rich in fruits, vegetables, and whole grains, maintaining a healthy weight, and engaging in regular physical activity can help manage or prevent the onset of type 2 diabetes with hyperglycemia.

When to Seek Professional Help

Seek medical attention if experiencing unexplained weight loss, intense thirst, or frequent urination that may indicate poorly controlled blood sugar levels.

Additional Resources

• American Diabetes Association (ADA): www.diabetes.org
• National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK): www.niddk.nih.gov

Tips for Medical Coders

• Ensure accurate coding by confirming the presence of hyperglycemia alongside type 2 diabetes mellitus.
• Avoid common errors such as omitting the specific complication of hyperglycemia in the diagnosis.