Why Are Oral Antidiabetic Drugs Not Given To Patients With Type 1 Diabetes Mellitus Quizlet

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Chapter 30 - Antidiabetic

Sort Mr. Goddard, age 78 years, was recently diagnosed with type 2 diabetes, and his health care provider has prescribed an antidia-betic drug. Mr. Goddard says his friend with diabetes takes insulin and he wonders why insulin was not prescribed for him. What explanation should be given to Mr. Goddard's initial question? a. Antidiabetics are used to treat patients with type 2 diabetes because insulin is used only for type 1 diabetes. b. Insulin is sometimes used for type 2 diabetes, but Mr. Goddard's case may not require it. c. Older patients are more responsive to antidiabetics than to insulin. d. Both a and c b. Insulin is sometimes used for type 2 diabetes, but Mr. Goddard's case may not require it. As a patient with newly diagnosed disease, Mr. Goddard requires instruction on which of the following topics? a. Diet b. Diet and exercise c. Diet, exercise, and stress reduction d. Diet, exercise, stress reduction, and alcohol intake d. Diet, exercise, stress reduction, and alcohol intake Ms. May has been diagnosed with type 1 diabetes. She is 15 years old. Her physician has prescribed an insulin regimen for her. How is insulin administered? a. Intradermally b. Subcutaneously c. Int Continue reading >>

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Popular Questions

  1. mamoore56

    Has the guidelines/description changed for Long Term Insulin Use from ICD-9 to ICD 10 to include use of long term DM medication as long term insulin use too? I have received information from several parties that CMS and plan are now including long term DM medication with the code of long term insulin use? Thank you.

  2. AlanPechacek

    It is going to be interesting to see what discussion comes from your question. Diabetes comes in several different forms (E08, E09, E10, E11, & E13 [I don't know what happened to E12, but it is not a code for anything]). E10 is Type I, which is by definition Insulin Dependent Diabetes in which Insulin is the basic/primary medication for Blood Sugar control/management. It also goes by several other descriptive names, the most common of which are Juvenile Diabetes or Idiopathic Diabetes or Brittle Diabetes. Therefore, since the patients with this disorder are on Insulin primarily, the use of Z79.4 (long term/current use of Insulin) would not be indicated. However, there are other types of Diabetes which are basically secondary to some other condition, or disease, or post-procedural in origin. These are usually primarily managed by oral medications, but sometimes if the oral agents are not providing adequate Blood Sugar control, supplemental use of insulin can be instituted. It is my understanding from my ICD-10 education process that if a patient has any of the types of diabetes other than Type I (Insulin Dependent Diabetes), but are receiving insulin as an adjunct/supplement to their oral medications, then Z79.4 should be reported.
    We will see what others say.
    Respectfully submitted, Alan Pechacek, M.D.

  3. Cheezum51

    Alan, from what I've been taught, you are correct. If you use an I10 code for Type I diabetes, it's assumed the patient is using insulin and you don't need to also code the Z79.4.
    If they have other forms of diabetes and insulin is used as part of their treatment, then you have to code the Z79.4
    Also, if the type of diabetes isn't specified in the medical record, my understanding is that we are supposed to code is as Type 2 as the default.
    Tom Cheezum, O.D., CPC

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