Hypoglycemics (oral or insulin): Difference between revisions

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{{~~DX tag~~ | ~~Poisoning (old)| Medical Problem | Hypoglycemics (oral or insulin) |~~

{{PreICD10 dx | NewDxArticle = Insulin or other antidiabetes drug, overdose/toxicity }}

*HYPOGLYCEMICS (oral or insulin)-intentional

*HYPOGLYCEMICS (oral or insulin)-accidental

*HYPOGLYCEMICS (oral or insulin)-iatrogenic

* | 46100 - Hypoglycemics (oral or ~~insulin)~~

*46101 - intentional

*46102 - accidental

*46103 - iatrogenic | No | 0 | CC & Med | Currently Collected | | }}

Poisoning (~~old~~)~~with~~ hypoglycemics such as insulin, metformin, etc.

{{DX tag | Poisoning| Medical Problem | 46100 - Hypoglycemics (oral or insulin) |

*46101 - HYPOGLYCEMICS (oral or insulin)-intentional

*46102 - HYPOGLYCEMICS (oral or insulin)-accidental

*46103 - HYPOGLYCEMICS (oral or insulin)-iatrogenic

| Yes | No | 0 | CC & Med | Currently Collected | | }}

Poisoningwith hypoglycemics such as insulin, metformin, etc.

=== vs [[Insulin Shock]] Dx ===

Insulin shock can be used if patient goes into insulin shock however, in terms of too much MED, we also want to try and discern if a problem occurred because too much insulin/metformin was intentional, accidental OR iatrogenic.

***Am I understanding the ~~above statement correctly? If a patient comes in profoundly hypoglycemic because they have~~ taken ~~their oral hypoglycemics/insulin,~~ and then ~~didn't or couldn't~~ eat ~~(e.g. ++ nausea and vomiting and couldn~~'t keep down food), in addition to using insulin shock in the admit dx's, we should also enter poisoning-hypoglycemics (oral or insulin)-accidental/toxicity as well? [[User:DPageNewton|DPageNewton]] 14:26, 2017 June 26 (CDT)

***Insulin shock fits the bill for Debbie's question better than the poisoning code~~. If you read the definition of insulin shock, the examples they give include the above scenario and it is the most common reason for hypoglycemia. I think the~~ poisoning code ~~is more for scenarios where '''too much''' insulin or metformin is given or taken either intentionally, accidentally or iatrogenically. If a pt is too ill to eat, the dosage given was not the problem~~, just ~~the fact that they cannot eat, so they go into insulin shock because of that. --~~[[~~User:LKolesar|LKolesar~~]] ~~11:34, 2017 June 28 (CDT)~~

If the right/normal amount of medication was taken and then the pt could not eat, don't code this poisoning code, just code [[Insulin Shock]].

===Hypoglycemics (oral or insulin) - HYPOGLYCEMICS (oral or insulin) - 46100 ===

~~{{Discussion}}~~

* Do we need the base code of these? We may have existing entries for it, but should it be de-activated going forward?

** don't understand this question?

*** would it not always be one of the subcodes? Ttenbergen 09:42, 2017 June 21 (CDT)

===Hypoglycemics (oral or insulin) - Intentional - 46101 ===

@@ Line 1: / Line 1: @@
-{{DX tag | Poisoning (old)| Medical Problem | Hypoglycemics (oral or insulin) |
+{{PreICD10 dx | NewDxArticle = Insulin or other antidiabetes drug, overdose/toxicity }}
-*HYPOGLYCEMICS (oral or insulin)-intentional
-*HYPOGLYCEMICS (oral or insulin)-accidental
-*HYPOGLYCEMICS (oral or insulin)-iatrogenic
-* | 46100 - Hypoglycemics (oral or insulin)
-*46101 - intentional
-*46102 - accidental
-*46103 - iatrogenic | No | 0 | CC & Med | Currently Collected |  | }}
-Poisoning (old)with hypoglycemics such as insulin, metformin, etc.
+{{DX tag | Poisoning| Medical Problem | 46100 - Hypoglycemics (oral or insulin) |
+*46101 - HYPOGLYCEMICS (oral or insulin)-intentional
+*46102 - HYPOGLYCEMICS (oral or insulin)-accidental
+*46103 - HYPOGLYCEMICS (oral or insulin)-iatrogenic
+| Yes | No | 0 | CC & Med | Currently Collected |  | }}
+Poisoningwith hypoglycemics such as insulin, metformin, etc.
 === vs [[Insulin Shock]] Dx ===
 Insulin shock can be used if patient goes into insulin shock however, in terms of too much MED,  we also want to try and discern if a problem occurred because too much insulin/metformin was intentional, accidental OR iatrogenic.
-***Am I understanding the above statement correctly? If a patient comes in profoundly hypoglycemic because they have taken their oral hypoglycemics/insulin, and then didn't or couldn't eat (e.g. ++ nausea and vomiting and couldn't keep down food), in addition to using insulin shock in the admit dx's, we should also enter poisoning-hypoglycemics (oral or insulin)-accidental/toxicity as well? [[User:DPageNewton|DPageNewton]] 14:26, 2017 June 26 (CDT)
-***Insulin shock fits the bill for Debbie's question better than the poisoning code.  If you read the definition of insulin shock, the examples they give include the above scenario and it is the most common reason for hypoglycemia.  I think the poisoning code is more for scenarios where '''too much''' insulin or metformin is given or taken either intentionally, accidentally or iatrogenically. If a pt is too ill to eat, the dosage given was not the problem, just the fact that they cannot eat, so they go into insulin shock because of that.  --[[User:LKolesar|LKolesar]] 11:34, 2017 June 28 (CDT)
+If the right/normal amount of medication was taken and then the pt could not eat, don't code this poisoning code, just code [[Insulin Shock]].
 ===Hypoglycemics (oral or insulin) - HYPOGLYCEMICS (oral or insulin) - 46100 ===
-{{Discussion}}
-* Do we need the base code of these? We may have existing entries for it, but should it be de-activated going forward?
-** don't understand this question?
-*** would it not always be one of the subcodes? Ttenbergen 09:42, 2017 June 21 (CDT)
 ===Hypoglycemics (oral or insulin) - Intentional - 46101 ===