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The ICD-10 Clinical Modification (ICD-10-CM) is a set of diagnosis codes used in the United States of America. [1] It was developed by a component of the U.S. Department of Health and Human services, [ 2 ] as an adaption of the ICD-10 with authorization from the World Health Organization .
ICD-10 is the 10th revision of the International Classification of Diseases (ICD), a medical classification list by the World Health Organization (WHO). It contains codes for diseases, signs and symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or diseases. [1]
Symptoms and effects can be mild, moderate or severe, depending on how low the glucose falls and a variety of other factors. It is rare but possible for diabetic hypoglycemia to result in brain damage or death. Indeed, an estimated 2–4% of deaths of people with type 1 diabetes mellitus have been attributed to hypoglycemia. [2] [3]
When blood sugar levels fall to the low-normal range, the first line of defense against hypoglycemia is decreasing insulin release by the pancreas. [3] [17] This drop in insulin allows the liver to increase glycogenolysis. [3] [17] Glycogenolysis is the process of glycogen breakdown that results in the production of glucose.
Region C: the new meter's values suggest treatment to regulate a patient's blood glucose is necessary, however, the reference meter suggests treatment is unnecessary; Region D: the new meter's values are so inaccurate that it would fail to detect potentially dangerous hypoglycemia or hyperglycemia; and
Classification System Detail ICD-9-CM: Volumes 1 and 2 only. Volume 3 contains Procedure codes: ICD-10: The international standard since about 1998 ICPC-2: Also includes reasons for encounter (RFE), procedure codes and process of care
Hypoglycemia is a fall in blood sugar to levels below normal. [8] This may result in a variety of symptoms including clumsiness, trouble talking, confusion, loss of consciousness, seizures or death. [8] A feeling of hunger, sweating, shakiness and weakness may also be present. [8] Symptoms typically come on quickly. [8]
Guidelines in the UK, however, recommend pre-feed screening of at-risk infants at 2–4 hours of age (to avoid false positives when blood glucose is, ordinarily, at its lowest at 2–3 hours of age) and at the subsequent feed until a blood glucose level of >2.0 mmol/L (36 mg/dL) on at least two consecutive occasions and is feeding well.