I10 - Essential (primary) hypertension

Clinical Definition

A diabetic coma is a life-threatening complication of diabetes characterized by severe alterations in consciousness due to extremely high or low blood glucose levels. This can occur in either Type 1 or Type 2 diabetes.

Documentation Requirements

• Type of Diabetes (Type 1 or Type 2) must be specified

• Level of Consciousness must be documented using standardized scales (e.g., GCS)

• Blood Glucose Levels at presentation

• Causative Factor:

  • Hyperglycemia (DKA)

  • Hypoglycemia

  • Hyperosmolar state

• Associated Conditions:

  • Ketoacidosis if present

  • Dehydration status

  • Any precipitating factors

• Temporal Factors:

  • Duration of coma

  • Initial onset

Common Synonyms

• Sugar shock

• Insulin shock

• Diabetic shock

• Blood sugar blackout

• Severe hyper/hypoglycemia with unconsciousness

Coding Conflicts

Excludes1:

• Hypoglycemic coma NOS

• Nondiabetic hyperglycemic coma

• Drug-induced coma

Scribing.io Automation

The AI scribe system automatically:

• Identifies mentions of altered consciousness in diabetic patients

• Tags blood glucose values and trends

• Captures specific terminology related to diabetic emergencies

• Links causative factors to the coma state

• Maps documentation to appropriate diabetes type codes

• Flags missing required elements for complete documentation

Our system recognizes both formal medical terminology and common patient language to ensure accurate code capture while maintaining workflow efficiency.