The definition, classification, and prevalence of disease are essential information for medical professionals and researchers. The collection of information is carried out in order to timely stop the epidemic or search for effective drugs. In order to effectively use all the information received by the World Health Organization, the ICD was created – an international classification of diseases, which includes the types of diabetes mellitus under various codes. This list is considered basic in developed countries.
What is ICD-10?
ICD-10 is a list of disease classifications that has been revised based on WHO data updates from 1996 to 2012. The title of the International Classification of Diseases, Injuries and Causes of Death has been changed to the International Statistical Classification of Diseases and Related Health Problems. A new cipher for coding, consisting of a letter and three numbers, began to be used, which allowed expanding the coding structure.
The first mention of diabetes
Diabetes mellitus was first identified 4000 years ago and was called diabetes mellitus. The first mentions of the disease were found in the works of healers from Ancient China, who, in addition to describing the symptoms of the disease, discovered an easy way to diagnose – a sample of the patient’s urine to taste. Until the 19th century, until the time when the possibility of medical determination of the presence of sugar was absent, doctors used this method. Also, the condition of a person’s feet could indicate the presence of a disease. At that time, the types of diabetes mellitus were not defined. It is believed that diabetes mellitus was discovered by the ancient Greek physician Aretheus , since he belongs to the first description of the clinical manifestations of the disease, but before him many doctors of antiquity were studying the disease .
The discovery of insulin
For a long time, people had no idea how to deal with the fatal disease “diabetes mellitus”, and the diagnosis left the patient nothing but hope for a miracle. This was until the winter of 1922, when Canadian scientist Frederick Bunting helped save the life of a boy with diabetes. To save him, he injected a dose of insulin. Frederick Bunting , together with his work partner John McLeod , was awarded the Nobel Prize. Although the disease is still impossible to defeat, the discovery of insulin makes it possible to control the disease and save tens of millions of lives every year.
The need for insulin and possible complications
As it turned out, the patient’s body needs a hormone that ensures the absorption of glucose by tissues. Insulin helps glucose to enter the cell and then be used as an energy source. A decrease in glucose to a critical level is called hypoglycemia and is accompanied by negative consequences. The lack of insulin in the body is dangerous because foods with sugar cannot be absorbed by the cells and cause the accumulation of sugar in the blood, which is deadly. Lack of insulin affects the excess sugar and is called decompensation. The most serious consequence of a hormone deficiency or excess is called deregulated diabetes. The kidneys are seriously damaged by complications of the disease. Lack of attention to the disease causes the risk of nephropathy – damage to the filtering elements of the kidneys and blood vessels that feed them. Also, a lack of insulin causes ketoacidosis , which is accompanied by a pre -coma or coma.
Introducing diabetes into ICD-10
The widespread prevalence and number of types of diabetes mellitus necessitated its inclusion in the international classification of diseases. ICD identifies three varieties, divided into classifications, each of which is assigned a code. The basic concepts include:
- insulin-dependent diabetes mellitus.
Diabetes mellitus in ICD-10
Diabetes mellitus has been assigned the following ICD codes:
- E10 is type 1 disease, which includes manifestations at a young age, with a predisposition to ketosis or lability.
- E11 is type 2. Included are diseases with or without consequences of obesity, in adults or in almost old age, with a predisposition to ketosis , as well as non-insulin-dependent diabetes mellitus in young people.
- E12 – disorders of the body, which are caused by malnutrition. Type 1 and 2 are included.
- E13 – other types of the disease that are not listed in the previous paragraphs, for example, steroidal, pancreatogenic or phosphate-related diabetes.
- E14 is a heading that includes diabetes with NOS glycusoria , that is, unspecified.
Diabetes insipidus in ICD-10
This category in the ICD-10 is represented by the code E23.2. Also presented is such a concept as nephrogenic diabetes insipidus, which is assigned the number N.25.1. The first type of disease is a violation of the balance of water and salt in the body due to a decreased secretion of ADH. The second type is similar in principle to the first. The difference is that the secretion of ADH is not reduced, but the kidney tissues do not perceive the effect of ADH.
Insulin-dependent diabetes mellitus in ICD-10
Insulin-dependent diabetes mellitus KSD is represented by the previously mentioned heading E10. It includes the first type with or without lability, predisposition to ketosis , development at a young age. Renal and NOS glucosuria were excluded , as well as diseases associated with problems with glucose perception, hyperinsulinemia after surgery. E10 also excludes diabetes in newborns, during pregnancy, childbirth or after, and due to malnutrition.