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Other specified diabetes mellitus with ketoacidosis without coma
ICD10CM code
#### Name of the Condition
- Other Specified Diabetes Mellitus with Ketoacidosis without Coma
- ICD-10-CM Code: E13.10
#### Summary
Other specified diabetes mellitus with ketoacidosis without coma is a type of diabetes that presents with high blood sugar levels resulting in a serious condition called ketoacidosis, which occurs without the severe symptom of coma. This condition requires urgent medical attention to prevent escalation.
#### Causes
- Insufficient insulin production or action.
- Poor management of blood glucose levels.
- Illness, infection, or other stressors on the body that affect insulin efficacy.
#### Risk Factors
- Existing diagnosis of diabetes mellitus.
- Inadequate diabetes management plan.
- Chronic conditions that impair the body’s ability to manage glucose efficiently.
#### Symptoms
- Elevated blood sugar levels.
- Presence of ketones in urine or blood.
- Nausea, vomiting, or abdominal pain.
- Shortness of breath or rapid breathing.
#### Diagnosis
- Blood glucose tests to measure sugar levels.
- Urinalysis or blood tests to detect ketones.
- Assessment of patient history and symptoms.
#### Treatment Options
- Administration of insulin to lower blood glucose levels.
- Fluid replacement to address dehydration.
- Electrolyte management to stabilize body functions.
- Continuous monitoring and adjustment by healthcare professionals.
#### Prognosis and Follow-Up
- With prompt treatment, the prognosis is generally positive.
- Regular follow-ups are crucial to adjust treatment plans and prevent recurrence.
- Long-term management focuses on maintaining stable glucose levels.
#### Complications
- Risk of hypoglycemia if treatment lowers blood sugar too rapidly.
- Dehydration leading to potential kidney issues.
- Further episodes of ketoacidosis if diabetes remains poorly managed.
#### Lifestyle & Prevention
- Consistent monitoring of blood sugar levels.
- Adhering to a balanced diet and regular physical activity.
- Following prescribed medication and insulin regimens.
- Drinking plenty of fluids and maintaining hydration.
#### When to Seek Professional Help
- Persistent vomiting or abdominal pain.
- Difficulty breathing or shortness of breath.
- Confusion or inability to concentrate.
- Persistent high blood sugar levels or presence of ketones.
#### Additional Resources
- American Diabetes Association: Diabetes.org
- International Diabetes Federation: idf.org
- Local diabetes support groups and educational workshops.
#### Tips for Medical Coders
- Verify that the case involves ketoacidosis without coma; documentation should support this specific classification.
- Ensure accuracy in differentiating between types of diabetes and any related complications.
- Beware of common errors such as confusing with ketoacidosis with coma or other diabetes classifications.