E10.74: Type 1 diabetes mellitus With multiple complications With diabetic foot syndrome, controlled
You have diabetes. This is also known as diabetes mellitus.
The body takes sugar from food via the intestines. The sugar gets into the blood there. The sugar level in every person’s blood thus increases after eating. The pancreas produces the messenger substance insulin. Insulin ensures that the sugar from the blood is absorbed into the cells. After eating, the pancreas releases more insulin into the blood. As a result, the sugar level in the blood drops after eating.
The messenger substance insulin is produced by specific tissue in the pancreas. Your immune system has produced antibodies against this tissue. As a result, this tissue in the pancreas was damaged or destroyed. This means your body is not forming enough of the hormone insulin. If you do not have enough insulin in your blood, the sugar level in the blood can become permanently too high. This is called Type 1 diabetes mellitus.
With diabetes, the sugar level in the blood can be too high. However, if you receive the hormone insulin as an injection, your sugar level can sometimes also drop too sharply. You must therefore always adjust the amount of the messenger substance insulin to the sugar content in food or to the amount of physical strain.
If the sugar level in the blood is too high for a considerable time, the sugar may damage the blood vessels and nerves. As a result, symptoms can occur at various sites of the body. If the blood vessels are damaged, circulatory disorders may occur. The kidneys are especially affected by them. But the eyes and skin may also be affected by the circulatory disorders. Sugar can also damage the nerves directly. It is possible for the nerves to stop working properly as a result.
You have various ailments in your feet. The nerves, muscles and bones may be damaged by the high sugar level. As a result, you may have pins and needles in your skin. You do not realize when you are overstraining your joints. Also, small wounds may go noticed and become larger. Due to the abnormal circulation, it is harder for the wounds to heal. The wounds must then be treated for a long time.
On medical documents, the ICD code is often appended by letters that indicate the diagnostic certainty or the affected side of the body.
- G: Confirmed diagnosis
- V: Tentative diagnosis
- Z: Condition after
- A: Excluded diagnosis
- L: Left
- R: Right
- B: Both sides
Provided by the non-profit organization “Was hab’ ich?” gemeinnützige GmbH on behalf of the Federal Ministry of Health (BMG).