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What Is An Uncontrolled Diabetic?

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The Treatment Of Severely Uncontrolled Diabetes Mellitus.

Abstract Patients with severely uncontrolled diabetes mellitus must be cared for by physicians and nurses who understand the pathophysiology of ketoacidosis and nonketotic hyperglycemia, who carefully seek and treat precipitating or underlying illnesses, and who can provide the patients with continuous clinical attention and laboratory monitoring. Most patients with diabetic ketoacidosis survive the acute metabolic disorder; the infrequent deaths are usually due to serious underlying illnesses. The latter are more common in patients with nonketotic hyperglycemia, who are usually older than those with ketoacidosis and who usually also have serious underlying chronic diseases. The essential features of treatment for either of the foregoing acute metabolic disorders are administration of insulin (especially gingerly in the older patients with nonketotic hyperglycemia, despite their commonly remarkable hyperglycemia); rehydration with NaCl solutions; and IV administration of K+, usually not until after a few hours of treatment with insulin and NaCl solutions. Administration of NaHCO3 is usually not necessary except in patients with a blood pH less than 7.1. Administration of phosphate 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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