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Uncontrolled Diabetes Definition

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Diabetes Mellitus And Pregnancy

Practice Essentials Gestational diabetes mellitus (GDM) is defined as glucose intolerance of variable degree with onset or first recognition during pregnancy. A study by Stuebe et al found this condition to be associated with persistent metabolic dysfunction in women at 3 years after delivery, separate from other clinical risk factors. [1] Infants of mothers with preexisting diabetes mellitus experience double the risk of serious injury at birth, triple the likelihood of cesarean delivery, and quadruple the incidence of newborn intensive care unit (NICU) admission. Gestational diabetes mellitus accounts for 90% of cases of diabetes mellitus in pregnancy, while preexisting type 2 diabetes accounts for 8% of such cases. Screening for diabetes mellitus during pregnancy Gestational diabetes The following 2-step screening system for gestational diabetes is currently recommended in the United States: Alternatively, for high-risk women or in areas in which the prevalence of insulin resistance is 5% or higher (eg, the southwestern and southeastern United States), a 1-step approach can be used by proceeding directly to the 100-g, 3-hour OGTT. The US Preventive Services Task Force (USPSTF) r Continue reading >>

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Popular Questions

  1. vanessa.falkoff

    Hi,
    Does anyone have a clinical definition of "Uncontrolled Diabetes" they
    could share? What would you do if the physician checked Uncontrolled DM
    type II on a query and the coder felt that the DM was not "uncontrolled"
    per the rest of the chart?
    Thanks in advance for any wisdom you are able to share
    Vanessa Falkoff, RN
    Clinical Documentation Coordinator
    University Medical Center of Southern Nevada
    office (702) 383-7322
    cell (702) 204-0054
    [email protected]

  2. Unknown

    I go by an article I read from ACDIS. I cannot remember the name but the parameters were:
    HgbA1C above 7 and multiple blood glucose greater than 250.
    Charlene

  3. ssalinas

    I would be really interested in other's response to the second question
    in email below -expanding the question to any diagnosis i.e. sepsis,
    respiratory failure, etc. listed by physician throughout a chart but
    lacking clinical indicators.
    What would you do if the physician checked Uncontrolled DM
    type II on a query and the coder felt that the DM was not "uncontrolled"
    per the rest of the chart?
    Sharon

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