E13.43 Other specified diabetes mellitus with diabetic autonomic (poly)neuropathy
ICD10CM code
ICD10CM
Name of the Condition
Other Specified Diabetes Mellitus with Diabetic Autonomic (Poly)neuropathy
Commonly referred to as diabetic autonomic neuropathy associated with other types of diabetes.
Summary
This condition involves damage to the autonomic nerves resulting from types of diabetes not classified as Type 1 or Type 2. The autonomic nervous system controls involuntary bodily functions, such as heart rate, digestion, and breathing.
Causes
This is often a long-term complication of chronic elevated blood glucose levels. Other types of diabetes, such as monogenic diabetes or diabetes due to underlying conditions like cystic fibrosis, can also cause autonomic neuropathy.
Risk Factors
Poorly controlled blood sugar levels.
Long-standing diabetes.
Age: older individuals may be more at risk.
Obesity and a sedentary lifestyle.
Symptoms
Dizziness and fainting due to changes in blood pressure.
Gastrointestinal issues such as nausea, vomiting, or diarrhea.
Bladder problems and urinary tract infections.
Sexual dysfunction.
Diagnosis
Comprehensive patient history and physical examination.
Tests such as autonomic reflex screening and heart rate variability tests.
Blood tests to manage and monitor glucose levels.
Treatment Options
Blood sugar management through medications such as insulin or oral hypoglycemics.
Dietary changes and physical activity to improve glycemic control.
Medications to manage specific symptoms, like antinausea drugs for gastrointestinal symptoms.
Prognosis and Follow-Up
The progression varies based on individual patient factors and glucose control.
With appropriate management, symptoms can be controlled, but nerve damage may not be reversible.
Regular follow-ups to monitor diabetic control and symptom progression.
Complications
Severe instability in blood pressure.
Increased risk of cardiovascular events.
Digestive problems that can lead to nutritional deficiencies and weight loss.
Lifestyle & Prevention
Good diabetic management with regular monitoring of blood glucose.
Healthy diet and regular physical activity consistent with diabetes recommendations.
Smoking cessation and limitation of alcohol intake.