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Medical Disability Advisor  >  Diabetes Mellitus Type II  >  Failure To Recover

Diabetes Mellitus Type II

Related Terms

  • Adult Onset Diabetes Mellitus
  • NIDDM
  • Non-insulin Dependent Diabetes Mellitus
  • Nonketotic Diabetes Mellitus
  • T2DM
  • Type II Diabetes
  • Type II Diabetes Mellitus

Differential Diagnoses

Specialists

  • Cardiovascular Internist
  • Clinical Psychologist
  • Endocrinologist
  • Nephrologist
  • Neurologist
  • Ophthalmologist
  • Orthopedic (Orthopaedic) Surgeon
  • Urologist

Comorbid Conditions

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Factors Influencing Duration

Factors influencing the length of disability include the presence and progression of complications, infections, loss of vision, amputation of foot or leg, dialysis, individual compliance with self-care regimen, and response to treatment.

Duration Trends from Reference Data

DURATION TRENDS
 ICD-9-CM: 250.00, 250.02  
CasesMeanMinMaxNo Lost TimeOver 6 Months
10134401891.3%1.7%
 
  
 
Percentile:5th25thMedian75th95th
Days:6163158138
 
  
 

Differences may exist between the duration tables and the reference graphs. Duration tables provide expected recovery periods based on the type of work performed by the individual. The reference graphs reflect the actual experience of many individuals across the spectrum of physical conditions, in a variety of industries, and with varying levels of case management. Selected graphs combine multiple codes based on similar means and medians.

Medical Codes

ICD-9-CM:
250 - Diabetes Mellitus
250.0 - Diabetes Mellitus without Mention of Complication
250.00 - Diabetes Mellitus Type II
250.02 - Diabetes Mellitus without Mention of Complication; Type II or Unspecified Type, Uncontrolled
250.12 - Diabetes with Ketoacidosis; Diabetic: Acidosis without Mention of Coma, Ketosis without Mention of Coma; Type II or Unspecified Type, Uncontrolled
250.2 - Diabetes with Hyperosmolarity; Hyperosmolar (Nonketotic) Coma
250.20 - Diabetes with Hyperosmolarity; Hyperosmolar (Nonketotic) Coma; Type II or Unspecified Type, Not Stated as Uncontrolled
250.22 - Diabetes with Hyperosmolarity; Hyperosmolar (Nonketotic) Coma; Type II or Unspecified Type, Uncontrolled
250.3 - Diabetes with Other Coma
250.30 - Diabetes with Other Coma; Diabetic Coma (with Ketoacidosis), Diabetic Hypoglycemic Coma, Insulin Coma NOS; Type II or Unspecified Type, not Stated as Uncontrolled
250.32 - Diabetes with Other Coma; Diabetic Coma (with Ketoacidosis), Diabetic Hypoglycemic Coma, Insulin Coma NOS; Type II or Unspecified Type, Uncontrolled
250.4 - Diabetic Glomerulosclerosis
250.40 - Diabetes with Renal Manifestations; Type II or Unspecified Type, not Stated as Uncontrolled
250.42 - Diabetes with Renal Manifestations; Type II or Unspecified Type, Uncontrolled
250.5 - Diabetes with Ophthalmic Manifestations
250.50 - Diabetes with Ophthalmic Manifestations; Type II or Unspecified Type, not Stated as Uncontrolled
250.52 - Diabetes with Ophthalmic Manifestations; Type II or Unspecified Type, Uncontrolled
250.6 - Diabetes with Neurological Manifestations
250.60 - Diabetes with Neurological Manifestations; Type II or Unspecified Type, not Stated as Uncontrolled
250.62 - Diabetes with Neurological Manifestations; Type II or Unspecified Type, Uncontrolled
250.7 - Diabetic Gangrene
250.70 - Diabetes with Peripheral Circulatory Disorders; Type II or Unspecified Type, Not Stated as Uncontrolled
250.72 - Diabetes with Peripheral Circulatory Disorders; Type II or Unspecified Type, Uncontrolled
250.8 - Diabetes with Other Specified Manifestations
250.80 - Type II (Non-insulin Dependent Type) or Unspecified Type Diabetes Mellitus with Other Specified Manifestations, Not Stated as Uncontrolled
250.82 - Type II (Non-insulin Dependent Type) or Unspecified Type Diabetes Mellitus with Other Specified Manifestations, Uncontrolled
250.9 - Diabetes with Unspecified Complications
250.90 - Diabetes with Unspecified Complications; Type II or Unspecified Type, not Stated as Uncontrolled
250.92 - Diabetes with Unspecified Complications; Type II or Unspecified Type, Uncontrolled

Failure to Recover

If an individual fails to recover within the expected maximum duration period, the reader may wish to consider the following questions to better understand the specifics of an individual's medical case.

Regarding diagnosis:

  • Does individual have a family history of diabetes?
  • Is individual over 45?
  • Is individual obese?
  • Is individual sedentary rather than physically active?
  • Does individual have polydipsia, polyuria, and polyphagia?
  • Does individual complain of frequent skin infections that are slow to heal, itching, blurred vision, tingling, numbness, pain in the arms and legs, general fatigue and drowsiness? If female, does individual have chronic vaginitis?
  • On exam, did individual have hypertension, obesity, leg ulcers, or changes in the eye?
  • Were a urinalysis, fasting plasma glucose, glucose tolerance test, and blood chemistry profile done? Were HDL cholesterol and/or total cholesterol elevated?
  • Were conditions with similar symptoms ruled out?

Regarding treatment:

  • Does individual eat well-balanced, healthy meals and participate in regular aerobic exercise?
  • Was individual trained in daily inspection and early intervention of injuries to the lower legs? Daily foot care?
  • Were oral hypoglycemics given?
  • Does individual monitor blood sugar regularly?
  • Are plasma glucose levels stable?
  • Has it become necessary for individual to take insulin?
  • Has individual been compliant with self-care recommendations and treatment regimen?

Regarding prognosis:

  • Can individual's employer accommodate any necessary restrictions?
  • Are blood pressure and cholesterol being controlled?
  • Was smoking cessation advised?
  • Does individual have any conditions that may affect ability to recover?
  • Have any complications developed that would slow or prevent recovery such as hypoglycemia, infection, gangrene, amputation of a lower extremity, skin ulceration, diabetic retinopathy, glaucoma, cataracts, erectile dysfunction, joint disease, diabetic neuropathy, cardiovascular disease, atherosclerosis, heart attack, stroke, or kidney failure?

Source: Medical Disability Advisor


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