E11.74: Type 2 diabetes mellitus With multiple complications With diabetic foot syndrome, controlled
You have diabetes. This is also known as diabetes mellitus.
The sugar from food or from sweet drinks is absorbed via the intestine. The sugar gets into the blood there. As a result, the sugar level in the blood rises after eating. The pancreas produces the messenger substance insulin. The pancreas is located in the upper abdomen. Insulin ensures that the sugar from the blood is absorbed into the cells. After eating, especially, the pancreas releases insulin into the blood. As a result, the sugar level in the blood then drops back.
You have type 2 diabetes. With this illness, insulin stops working properly. This can have different causes, for example too little movement, overweight and a diet rich in fats and sugar. There are also hereditary causes. When insulin no longer works correctly, the sugar level in the blood can rise too high. The pancreas then produces more and more insulin. That overloads the pancreas. After many years, the pancreas may sometimes then be unable to produce sufficient insulin any longer. If you have too little insulin in your blood, the sugar level in the blood can become permanently too high.
If the diabetes persists over a long period of time, it can damage the blood vessels in different parts of the body. When blood vessels are damaged, circulatory problems can occur. A high blood sugar level can also damage the kidneys and the eyes. If the diabetes persists over a long period of time, it can damage the nerves. When nerves are damaged, skin sensation disturbances or pain may occur. The sufferer may also have less strength in certain parts of their body.
The diabetes has caused problems in your feet. The high blood sugar level can damage blood vessels in the foot. Sometimes this means that surface areas of the food do not get an adequate blood supply, and lesions form. The diabetes also damages the small nerves in the foot. As a result, you no longer feel smaller wounds or pressure points in the foot properly. Wounds also heal more poorly or more slowly than usual due to the diabetes. The wounds may then become deeper and also affect muscles, bones or joints.
Additional indicator
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
Further information
Source
Provided by the non-profit organization “Was hab’ ich?” gemeinnützige GmbH on behalf of the Federal Ministry of Health (BMG).