Diabetes complications

What kind of disease is such diabetic polyneuropathy: ICD-10 code, clinical presentation and treatment methods?

Polyneuropathy is a complex of diseases that includes the so-called multiple lesion of peripheral nerves.

The illness usually turns into the so-called chronic form and has an ascending pathway, that is, this process initially affects just the smallest fibers and slowly flows to larger branches.

This pathological condition called diabetic polyneuropathy, ICD-10, is encoded and divided, depending on the origin and course of the disease, into the following groups: inflammatory and other polyneuropathies. So what is diabetic polyneuropathy for ICD?

What it is?

Polyneuropathy is a so-called complication of diabetes mellitus, the whole essence of which is the complete defeat of the vulnerable nervous system.

Nerve damage in polyneuropathy

It usually manifests itself through an impressive period of time that has passed since the diagnosis of disorders in the endocrine system. More specifically, the disease may appear after twenty-five years from the onset of the development of problems with insulin production in humans.

But, there were cases when the disease was detected in endocrinological patients within five years after the pathologies were detected by the pancreas. The risk of getting sick is the same for patients with diabetes, both of the first type and the second.

Causes

As a rule, with a long course of the disease and fairly frequent fluctuations in the sugar level, metabolic disturbances in all organs and body systems are diagnosed.

And the nervous system suffers first. As a rule, nerve fibers feed the smallest blood vessels.

Under the prolonged influence of carbohydrates, a so-called malnutrition of the nerves appears. As a result, they fall into a state of hypoxia and, as a result, the primary symptoms of the disease appear.

During its subsequent course and frequent decompensations, the existing problems with the nervous system, which gradually become irreversible chronic, become much more complicated.

Since the proper functioning of the nervous system and preventing the occurrence of failures in it require special vitamins and minerals, and in diabetes the assimilation and processing of all useful substances is significantly impaired, the nervous tissues suffer from malnutrition and, accordingly, undergo an undesirable development of polyneuropathy.

Diabetic polyneuropathy of the lower extremities by ICD-10

This diagnosis is most often heard by patients who have diabetes.

This disease affects the body when the peripheral system and its fibers are significantly impaired. He can be provoked by a variety of factors.

As a rule, middle-aged people are primarily affected. It is remarkable, but men get sick much more often. It is also worth noting that polyneuropathy is not uncommon in preschool children and adolescents.

Diabetic polyneuropathy, the ICD-10 code of which is E10-E14, usually affects the upper and lower limbs of a person. As a result, the sensitivity and performance are significantly reduced, the limbs become asymmetrical, and the blood circulation is also significantly reduced. As you know, the main feature of this disease is that, spreading throughout the body, it affects at first exactly the long nerve fibers. Therefore, it is no wonder why the first to suffer the foot.

Signs of

The disease, appearing mainly on the lower limbs, has a large number of symptoms:

  • feeling of severe numbness in the legs;
  • swelling of feet and legs;
  • unbearable pain and stabbing sensations;
  • muscle weakness;
  • increase or decrease the sensitivity of the limbs.

Each form of neuropathy is distinguished by its individual symptoms.th:

  1. diabetic in the early stages. It is characterized by numbness of the lower limbs, tingling sensation and a strong burning sensation in them. There is barely noticeable pain in the feet, ankles, and calf muscles. As a rule, it is at night that the symptoms become more vivid and pronounced;
  2. diabetic in late stages. If present, the following warning signs are noted: unbearable pain in the lower extremities, which may also appear even at rest, weakness, muscle atrophy and changes in skin pigmentation. With the gradual development of the disease, the condition of the nails worsens, as a result of which they become more fragile, thicken or even atrophy. Also, the patient forms the so-called diabetic foot: it significantly increases in size, flatfoot appears, ankle deformity and neuropathic edema develops;
  3. diabetic encephalopathy neuropathy. It is characterized by the following symptoms: not experiencing severe headaches, momentary fatigue and increased fatigue;
  4. toxic and alcoholic. It has such pronounced symptoms: cramps, numbness in the legs, a significant disturbance in the sensitivity of the feet, weakening of the tendons and muscular reflexes, a change in skin tone to bluish or brown, a decrease in hair and a decrease in temperature in the legs, which does not depend on blood flow. As a result, trophic ulcers and swelling of the legs are formed.
With a sufficiently long course of toxic and alcoholic forms of the disease, paresis and even paralysis of the lower extremities develop.

Diagnostics

Since one type of research cannot show the full picture, the diagnosis of diabetic polyneuropathy using the ICD-10 code is carried out using several popular methods:

  • visually;
  • instrumental;
  • laboratory.

As a rule, the first research method consists of a detailed examination by several specialists: a neurologist, a surgeon and an endocrinologist.

The first doctor deals with the study of external symptoms, such as: blood pressure in the lower extremities and their hypersensitivity, the presence of all necessary reflexes, checking for edema, and examining the condition of the skin.

As for laboratory research, this includes: urinalysis, glucose concentration in blood plasma, cholesterol, as well as the determination of the level of toxic substances in the body when it is suspected toxic neuropathy.

But instrumental diagnostics of the presence of diabetic polyneuropathy according to ICD-10 in the patient’s body implies MRI, as well as electroneuromyography and nerve biopsy.

Many patients, up to about seventy percent of the total number of diabetics, do not have any complaints. And all because they do not notice any symptoms.

Treatment

It is important to remember that the treatment should be comprehensive and mixed. It must necessarily include certain drugs that are aimed at all areas of the development process.

It is very important that the treatment includes taking these drugs:

  1. vitamins. They must be ingested together with food. Thanks to them, the transport of impulses along nerves is improved, and the negative effects of glucose on nerves are also blocked;
  2. alpha lipoic acid. It prevents the accumulation of sugar in the nervous tissue, activating certain groups of enzymes in the cells and restoring the already damaged nerves;
  3. painkillers;
  4. aldose reductase inhibitors. They will prevent one of the ways of blood sugar transformation, thereby reducing its effect on the nerve endings;
  5. Actovegin. It promotes the use of glucose, improves microcirculation in the arteries, veins and capillaries that feed the nerves, and also prevents the death of nerve cells;
  6. potassium and calcium. These substances have the ability to reduce cramps and numbness in a person’s limbs;
  7. antibiotics. Their reception may be needed only when there is a risk of gangrene.

Based on exactly what form of diabetic polyneuropathy ICD-10 is found, the attending doctor prescribes professional treatment, which completely removes the symptoms of the disease. At the same time, one can hope for a complete cure. A literate specialist prescribes both medication and non-drug treatment.

First of all, it is very important to significantly lower the blood sugar level and only then proceed to the treatment of diabetic polyneuropathy using ICD. If this is not done, then all efforts will be completely ineffective.

It is very important in the toxic form to completely eliminate alcoholic beverages and follow a strict diet.. The attending physician must necessarily prescribe special drugs that improve blood microcirculation and prevent the appearance of blood clots. Another very important to get rid of puffiness.

With proper and proper treatment, as well as compliance with the diet, the prognosis is always quite favorable. But you should not engage in self-treatment, but it is better to immediately turn to qualified specialists who will help get rid of this unpleasant disease.

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PhD in Polyneuropathy in Patients with Diabetes:

As can be understood from all the information presented in the article, diabetic neuropathy responds quite well to treatment. The most important thing is not to start this process. The disease has pronounced symptoms that are difficult not to notice, so with a reasonable approach, you can quickly get rid of it. After the discovery of the first alarming symptoms, it is important to undergo a full medical examination that confirms the intended diagnosis. Only after that you can proceed to the treatment of disease.

Watch the video: Peripheral Neuropathy (September 2019).