Insulin Dependent Diabetes Mellitus Icd 10

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Unraveling the multi-generational syndrome of diabetic embryopathy: from cell signaling to clinical care Air date: Wednesday, April 29, 2015, 3:00:00 PM Category: WALS - Wednesday Afternoon Lectures Runtime: 00:58:51 Description: Wednesday Afternoon Lecture Series Successful fetal and maternal outcomes in the context of maternal pregestational diabetes (type 1 or type 2) largely depend on how well glycemic control is maintained, especially prior to conception and in the first trimester of pregnancy. Stringent metabolic control and monitoring, and nutritional management via supplements and antioxidants significantly reduce the risk for or can eliminate poor outcomes due to hyperglycemia on both the maternal and fetal side. Experiments in animal models have shown that hyperglycemia induces oxidative stress within the developing cells and tissues of the fetus. As maternal glucose concentration increases, so does the concentration of reactive oxygen species (ROS) within the fetus. When ROS concentration increases, the natural antioxidant capacity of fetal cells decreases, which leads to at least three biomolecular events causing birth defects: membrane alterations; mitochondrial dysfun

Orphanet: Diabetic Embryopathy

Only comments seeking to improve the quality and accuracy of information on the Orphanet website are accepted. For all other comments, please send your remarks via contact us . Only comments written in English can be processed. Check this box if you wish to receive a copy of your message Diabetic embryopathy is characterized by congenital anomalies or foetal/neonatal complications in an infant that are linked to diabetes in the mother. Several reports show that the birth prevalence of congenital malformations can be cut by a third by using strict preconception glycemia control, but the challenge of implementing this approach remains. Macrosomia is also a common problem among infants of women with established insulin-dependent diabetes mellitus. Excess mortality among infants of women with preexisting insulin-dependent diabetes mellitus is predominantly due to congenital malformations. All types of congenital malformations are involved, but some are more common. Notably, the risk of cardiovascular malformations (CVM) is increased, and specific studies show that preconceptional maternal diabetes is strongly associated with CVM of early embryonic origin and with cardiomyopathy (respe Continue reading >>

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  1. kpoman

    Hi everyone,
    So I got my blood test last week and saw an annoying evolution. Please someone help me understand how to fix this ! About my routine, I do lot of aerobic + anaerobic + strength (say, running ~20km/week, and gym of about 2hs/week). About the keto, I do about 2000kcal, mainly crucifers, meat, olive oil, advocado, cheese, etc.. for a 75/20/5 ratio.
    ( values in mg/dL) (TC: total cholesterol, TG: triglycerides)
    20131126 20150709 20160318


  2. anbeav

    Were you fasting? The insanely high triglycerides suggests no

  3. kpoman

    I was for the exam, yes, done at 9AM with a 12 hours fast. I am frequently doing also a morning fast, eating from 1PM to 9PM and fasting the rest of the day, with mainly coffee.

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http://www.icd10forkindergarten.com http://www.pacecoding.com

Diabetes With Elevated Insulin Icd 10

Approximate Synonyms. Diabetes mellitus, type 2 with ketoacidotic coma; Diabetes type 2 low hdl and high triglyceride; Diabetes type 2 with erectile dysfunction; Diabetes type 2 with hyperlipidemia; Diabetes type 2 with severe malnutrition; Diabetes, type 2 with ketoacidosis; Diabetes, type 2 with osteomyelitis; Dyslipidemia. Nov 6, 2014 . I am looking for any information on coding Diabetes, Type 2, uncontrolled for ICD 10.. In other words a diabetic patient that does not always adhere to proper diet or does not take the insulin correctly, while they may not yet be hyperglycemic, the provider may document the diabetes is poorly controlled. People with metabolic syndrome are at increased risk of diabetes mellitus and diseases of the heart and blood vessels. A multifaceted syndrome characterized by clustering of insulin resistance and hyperinsulinemia, associated with dyslipidemia, essential hypertension, abdominal obesity, glucose intolerance or noninsulin. Free, official coding info for 2018 ICD-10-CM E11.65 - includes detailed rules, notes, synonyms, ICD-9-CM conversion, index and annotation crosswalks, DRG grouping and more. Oct 4, 2015 . Part of Dr. Gily's icd-10 codes training Continue reading >>

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  1. richard

    Someone asked in Dr Fungs FB wall what people thought about Prüvit's exogenous ketone product Keto//OS but rather than single out just that product (and I have a lot to say about the multi level marketing practices) I decided to comment generally about eating ketones, and repost here so people can find the post ... because : .
    The point of being in ketosis for weight loss is to use body fat to make into ketones - eating ketones means you get to keep all your body fat.
    The point of being in ketosis for Diabetes is you had to eat no sugar or starch in order to make ketones. For a diabetic eating no sugar or starch gives your liver a chance to make the perfect amount of glucose for you. If you eat ketones to get into ketosis then you will have the wrong amount of glucose and could lose a toe, your eyes, a kidney.
    Plus ketones made in a vat are both left and right handed - we only use the right handed ones for energy. No-one knows what a caloric amount of the left handed ones for several decades will do to your cells. No-one.

    If you want to eat ketones, better to eat MCT oils like Coconut oil and you will make them, the right kind, at about 1/100th of the cost of edible ketones.

  2. Chris_Bair

    I can't be the only one around here that can almost literally hear @richard 's voice when reading his posts. I keep expecting to hear "yeahhh!" =)

    Making your own ketones from old doughnuts is so much better than exogenous ketones. Hey cells, you want fuel? Tell the liver to make some! Problem with the MCT oil is the potential for... "bowel problems" - it's also not necessary for weight loss. I'll admit that replacing other calories with MCT isn't a BAD idea but consuming extra calories via MCT oil isn't a winner either.

  3. trekkin1

    Good post, Richard.
    There's generally little point to consuming raw energy food-like substances. These include oil, sugar, exogenous ketones, MCT oil). These are all energy separated from food. They are not food. These can lead to fat gain, among other things. Most of us don't need extra concentrated food energy...
    Why do that?

    It's best to consume real food with high nutrient density. No?

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The ability of modern medicine to prolong life has raised a variety of difficult legal, ethical, and social issues on which reasonable minds can differ. Among these is the morality of euthanasia in cases of deep coma or irreversible injury, as well as the dead donor rule with respect to organ harvesting and transplants. As science continues to refine and develop lifesaving technologies, questions remain as to how much medical effort and financial resources should be expended to prolong the lives of patients suspended between life and death. At what point should death be considered irreversible? What criteria should be used to determine when to withhold or withdraw life-prolonging treatments in cases of severe brain damage and terminal illness? In exploring these complex dilemmas, medical director Christopher Comfort, organ transplant specialist Sam Shemie, ethicist Mildred Solomon, and attorney Barbara Coombs Lee examine the underlying assumptions and considerations that ultimately shape individual and societal decisions surrounding these issues. The New York Academy of Sciences Tuesday, November 12, 2013 http://www.nourfoundation.com/prolong...

Dealing With Diabetes Coding Dilemmas

Patricia Maccariella-Hafey, RHIA, CCS, CCS-P By now, the September CCS/CCS-P exams have come and gone. I hope that those of you who took the exams were successful! We are ready to prepare for the upcoming exams in 2003. We will update you on future dates and/or Web access to exams in a future column. In this issue, we are going to concentrate on diabetes coding issues. This can be troublesome for both the inpatient and outpatient coders, regardless of setting. Physician documentation has a lot to do with the difficulty in the coding of this diagnosis. We will start with some important concepts, Coding Clinic direction and will then provide a quiz to test these concepts. Due to limits on space, only the codes are presented. Please refer to your ICD-9-CM code book for descriptions. 1.The Official Coding Guidelines do not address diabetes specifically, although there are many Coding Clinic issues addressing diabetes coding in both the inpatient and outpatient settings. As with all code assignments, both physician documentation AND clinical documentation, such as treatments, symptoms or ancillary report findings, should be in the record before a code is assigned. Coders must not assum Continue reading >>

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  1. Teko1

    Eating Correctly.. still high blood sugar

    Hi Guys
    Im new and first off no clue why my profile pic is a black square. Anyway, I've been eating low carb with low carb veggies and protein. Im very frustrated my a1c has been 6.9. Even after i eat a low carb meal if Im lucky I get a readying of 160. Im back on Metformin 2 times a day. I saw the biggest lose of weight and stable bloodsugar 5.3 on Victoza but its very expensive. I exercise and am trying to eat healthy and lose about 25 lbs. And nothing! Ive been doing this for about 6 months.
    When I went on 500 calories a day with the supervision of a doctor I lost 30 and my blood sugar was about 110. But as soon as I stopped that it went back up. Any suggestion would be helpful. I don't want to starve myself. I am eating whole foods mainly veggies. I also had graves disease so have no thyroid.


    First off your hormones can and will cause things in the body to go haywire. I hope you are on supplement medication that helps to balance your thyroid problem. Second it can take many months of low carb eating to just get rid of the fat in your liver which is released daily as glucose. The liver stores this supply and causes the dawn phenomenon or higher morning numbers and elevates it throughout the day. When that storage is used up to a point that should improve your glucose control. Just be patient and keep on your diet, most of us have enough body and liver fat stored to keep you from actually starving for quite a long time. That doesn't mean you won't be hungry and want to eat. Even fat people get hungry even though the body doesn't need to eat for energy. The body wants to continue to store energy from food rather than use what is already stored. That stored energy can only be used when you force its use by placing your body in the position of not being able to get the energy from foods you eat. Here is a video of Butter Bob Briggs explaining why, Fat people are always hungry.
    Another from Dr Jason Fung :

  3. Lillymarie

    Hi washed out I'm new diabetic I don't take meds they make me I'll so i'm eating properly but u said it take months to get u r liver straighten out thank u I have been confused about my numbers they high in the morning and I didn't eat anything the nite before it seems like I can't eat much or the numbers go up can u help thanks again lillymarie

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