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Diabetes Mellitus

Kethryn E Mansfield, Dorothea Nitsch, Liam Smeeth, Krishnan Bhaskaram, Laurie A Tomlinson

Type
Disease or Syndrome
ID
PH573
Version ID
1146
Valid event data range
01/04/1997 - 31/03/2014
Sex
Female, Male
Agreement Date
2015-12-31
Coding system
Read codes v2 ICD10 codes
Tags /Collections
ClinicalCodes Repository Phenotype Library

Definition

Objective:

To investigate whether there is an association between use of ACE inhibitors (ACEI) and angiotensin receptor blockers (ARB), and risk of acute kidney injury (AKI).

Design:

A time-updated, new-user cohort study among people initiating common antihypertensives (ACEI/ARB, beta-blockers, calcium channel blockers and thiazide diuretics) in primary care between April 1997 and March 2014.

Participants:

Adults initiating antihypertensive drug treatment, with at least one year of registration prior to first prescription, identified from UK primary care practices contributing to the Clinical Practice Research Datalink and eligible for linkage to hospital records data from the Hospital Episode Statistics database.

Main outcome measures:

Incidence rate ratio (RR) for first episode of AKI during time exposed to ACEI/ARB compared to time unexposed, estimated using Poisson regression adjusted for age, sex, comorbidities, use of other antihypertensive drugs, and calendar period.

Results:

Among 570,443 participants with a median follow-up of 2.8 years (IQR 0.4 to 7) there were 15,004 first cases of AKI. The overall crude rate of AKI was 6.4/1,000 person years at risk (95% CI 6.30 to 6.50) but varied from 1.63 (1.43 to 1.86) to 662.53 (538.98 to 814.40) depending on, age, comorbidities, and other prescribed drugs. The adjusted RR of AKI during time exposed to ACEI/ARB compared to time unexposed was 1.18 (95% CI 1.13 to 1.23) which was attenuated to 1.12 (95% CI 1.08 to 1.17) after adjustment for non-thiazide diuretic therapy. There was an interaction for the risk of AKI between people using loop diuretics and ACEI/ARB. For those taking loop diuretics, the adjusted RR of AKI during time exposed to ACEI/ARB compared to time unexposed was 0.99 (95% CI 0.92 to 1.06) but it was 1.18 (95% CI 1.13 to 1.24) among people not-exposed to loop diuretics (p<0.001).

Conclusions:

Treatment with ACEI/ARB alone appears to be associated with a small increase in the rate of AKI which is largely seen among people with low absolute risk of AKI. Among people requiring loop diuretics, who have a high absolute risk of AKI, treatment with ACEI/ARB had no measurable association with AKI.

Publications

  • Kethryn E Mansfield, Dorothea Nitsch, Liam Smeeth, Krishnan Bhaskaram, Laurie A Tomlinson, Renin-angiostensin system blockage and risk of acute kidney injury. 2015.

Clinical Code List

Rows: 647
Code Description Entity type Category Coding System (ICD-10 Read)
13AB.00 diabetic lipid lowering diet res30: Diabetes mellitus diagnostic Read
13AC.00 diabetic weight reducing diet res30: Diabetes mellitus diagnostic Read
13B1.00 diabetic diet res30: Diabetes mellitus diagnostic Read
13L4.11 diabetic child res30: Diabetes mellitus diagnostic Read
1434 h/o: diabetes mellitus res30: Diabetes mellitus diagnostic Read
14F4.00 h/o: admission in last year for diabetes foot problem res30: Diabetes mellitus diagnostic Read
14P3.00 h/o: insulin therapy res30: Diabetes mellitus diagnostic Read
2BBF.00 retinal abnormality - diabetes related res30: Diabetes mellitus diagnostic Read
2BBJ.00 o/e - no right diabetic retinopathy res30: Diabetes mellitus diagnostic Read
2BBK.00 o/e - no left diabetic retinopathy res30: Diabetes mellitus diagnostic Read
2BBL.00 o/e - diabetic maculopathy present both eyes res30: Diabetes mellitus diagnostic Read
2BBM.00 o/e - diabetic maculopathy absent both eyes res30: Diabetes mellitus diagnostic Read
2BBP.00 o/e - right eye background diabetic retinopathy res30: Diabetes mellitus diagnostic Read
2BBQ.00 o/e - left eye background diabetic retinopathy res30: Diabetes mellitus diagnostic Read
2BBR.00 o/e - right eye preproliferative diabetic retinopathy res30: Diabetes mellitus diagnostic Read
2BBS.00 o/e - left eye preproliferative diabetic retinopathy res30: Diabetes mellitus diagnostic Read
2BBT.00 o/e - right eye proliferative diabetic retinopathy res30: Diabetes mellitus diagnostic Read
2BBV.00 o/e - left eye proliferative diabetic retinopathy res30: Diabetes mellitus diagnostic Read
2BBW.00 o/e - right eye diabetic maculopathy res30: Diabetes mellitus diagnostic Read
2BBX.00 o/e - left eye diabetic maculopathy res30: Diabetes mellitus diagnostic Read
2BBk.00 o/e - right eye stable treated prolif diabetic retinopathy res30: Diabetes mellitus diagnostic Read
2BBl.00 o/e - left eye stable treated prolif diabetic retinopathy res30: Diabetes mellitus diagnostic Read
2BBo.00 o/e - sight threatening diabetic retinopathy res30: Diabetes mellitus diagnostic Read
2BBr.00 impaired vision due to diabetic retinopathy res30: Diabetes mellitus diagnostic Read
2G51000 foot abnormality - diabetes related res30: Diabetes mellitus diagnostic Read
2G5A.00 o/e - right diabetic foot at risk res30: Diabetes mellitus diagnostic Read
2G5B.00 o/e - left diabetic foot at risk res30: Diabetes mellitus diagnostic Read
2G5C.00 foot abnormality - diabetes related res30: Diabetes mellitus diagnostic Read
2G5E.00 o/e - right diabetic foot at low risk res30: Diabetes mellitus diagnostic Read
2G5F.00 o/e - right diabetic foot at moderate risk res30: Diabetes mellitus diagnostic Read
2G5G.00 o/e - right diabetic foot at high risk res30: Diabetes mellitus diagnostic Read
2G5H.00 o/e - right diabetic foot - ulcerated res30: Diabetes mellitus diagnostic Read
2G5I.00 o/e - left diabetic foot at low risk res30: Diabetes mellitus diagnostic Read
2G5J.00 o/e - left diabetic foot at moderate risk res30: Diabetes mellitus diagnostic Read
2G5K.00 o/e - left diabetic foot at high risk res30: Diabetes mellitus diagnostic Read
2G5L.00 o/e - left diabetic foot - ulcerated res30: Diabetes mellitus diagnostic Read
2G5V.00 o/e - right chronic diabetic foot ulcer res30: Diabetes mellitus diagnostic Read
2G5W.00 o/e - left chronic diabetic foot ulcer res30: Diabetes mellitus diagnostic Read
2G5d.00 o/e - left diabetic foot at increased risk res30: Diabetes mellitus diagnostic Read
2G5e.00 o/e - right diabetic foot at increased risk res30: Diabetes mellitus diagnostic Read
3881 education score - diabetes res30: Diabetes mellitus diagnostic Read
3882 diabetes well being questionnaire res30: Diabetes mellitus diagnostic Read
3883 diabetes treatment satisfaction questionnaire res30: Diabetes mellitus diagnostic Read
42W..00 hb. a1c - diabetic control res30: Diabetes mellitus diagnostic Read
42W1.00 hb. a1c < 7% - good control res30: Diabetes mellitus diagnostic Read
42W2.00 hb. a1c 7-10% - borderline res30: Diabetes mellitus diagnostic Read
42W3.00 hb. a1c > 10% - bad control res30: Diabetes mellitus diagnostic Read
42WZ.00 hb. a1c - diabetic control nos res30: Diabetes mellitus diagnostic Read
42c..00 hba1 - diabetic control res30: Diabetes mellitus diagnostic Read
42c0.00 hba1 < 7% - good control res30: Diabetes mellitus diagnostic Read
42c1.00 hba1 7 - 10% - borderline control res30: Diabetes mellitus diagnostic Read
42c2.00 hba1 > 10% - bad control res30: Diabetes mellitus diagnostic Read
44T9.00 glucometer blood sugar res30: Diabetes mellitus diagnostic Read
44UZ.00 blood glucose 14+ mmol/l res30: Diabetes mellitus diagnostic Read
44Uz.11 blood hyperglycaemia nos res30: Diabetes mellitus diagnostic Read
44V3.00 glucose tol. test diabetic res30: Diabetes mellitus diagnostic Read
661N400 diabetes self-management plan review res30: Diabetes mellitus diagnostic Read
66A..00 diabetic monitoring res30: Diabetes mellitus diagnostic Read
66A1.00 initial diabetic assessment res30: Diabetes mellitus diagnostic Read
66A2.00 follow-up diabetic assessment res30: Diabetes mellitus diagnostic Read
66A3.00 diabetic on diet only res30: Diabetes mellitus diagnostic Read
66A4.00 diabetic on oral treatment res30: Diabetes mellitus diagnostic Read
66A5.00 diabetic on insulin res30: Diabetes mellitus diagnostic Read
66A8.00 has seen dietician - diabetes res30: Diabetes mellitus diagnostic Read
66A9.00 understands diet - diabetes res30: Diabetes mellitus diagnostic Read
66AA.11 injection sites - diabetic res30: Diabetes mellitus diagnostic Read
66AC.00 blood sugar charts res30: Diabetes mellitus diagnostic Read
66AD.00 fundoscopy - diabetic check res30: Diabetes mellitus diagnostic Read
66AE.00 feet examination res30: Diabetes mellitus diagnostic Read
66AG.00 diabetic drug side effects res30: Diabetes mellitus diagnostic Read
66AH.00 diabetic treatment changed res30: Diabetes mellitus diagnostic Read
66AH000 conversion to insulin res30: Diabetes mellitus diagnostic Read
66AH100 conversion to insulin in secondary care res30: Diabetes mellitus diagnostic Read
66AH200 conversion to insulin by diabetes specialist nurse res30: Diabetes mellitus diagnostic Read
66AI.00 diabetic - good control res30: Diabetes mellitus diagnostic Read
66AJ.00 diabetic - poor control res30: Diabetes mellitus diagnostic Read
66AJ.11 unstable diabetes res30: Diabetes mellitus diagnostic Read
66AJ000 chronic hyperglycaemia res30: Diabetes mellitus diagnostic Read
66AJ100 brittle diabetes res30: Diabetes mellitus diagnostic Read
66AJ200 loss of hypoglycaemic warning res30: Diabetes mellitus diagnostic Read
66AJz00 diabetic - poor control nos res30: Diabetes mellitus diagnostic Read
66AK.00 diabetic - cooperative patient res30: Diabetes mellitus diagnostic Read
66AL.00 diabetic-uncooperative patient res30: Diabetes mellitus diagnostic Read
66AM.00 diabetic - follow-up default res30: Diabetes mellitus diagnostic Read
66AN.00 date diabetic treatment start res30: Diabetes mellitus diagnostic Read
66AP.00 diabetes: practice programme res30: Diabetes mellitus diagnostic Read
66AQ.00 diabetes: shared care programme res30: Diabetes mellitus diagnostic Read
66AQ000 unsuitable for diabetes year of care programme res30: Diabetes mellitus diagnostic Read
66AQ100 declined consent for diabetes year of care programme res30: Diabetes mellitus diagnostic Read
66AR.00 diabetes management plan given res30: Diabetes mellitus diagnostic Read
66AS.00 diabetic annual review res30: Diabetes mellitus diagnostic Read
66AS000 diabetes year of care annual review res30: Diabetes mellitus diagnostic Read
66AT.00 annual diabetic blood test res30: Diabetes mellitus diagnostic Read
66AU.00 diabetes care by hospital only res30: Diabetes mellitus diagnostic Read
66AV.00 diabetic on insulin and oral treatment res30: Diabetes mellitus diagnostic Read
66AW.00 diabetic foot risk assessment res30: Diabetes mellitus diagnostic Read
66AY.00 diabetic diet - good compliance res30: Diabetes mellitus diagnostic Read
66AZ.00 diabetic monitoring nos res30: Diabetes mellitus diagnostic Read
66Aa.00 diabetic diet - poor compliance res30: Diabetes mellitus diagnostic Read
66Ab.00 diabetic foot examination res30: Diabetes mellitus diagnostic Read
66Ac.00 diabetic peripheral neuropathy screening res30: Diabetes mellitus diagnostic Read
66Ae.00 hba1c target res30: Diabetes mellitus diagnostic Read
66Af.00 patient diabetes education review res30: Diabetes mellitus diagnostic Read
66Ag.00 insulin needles changed daily res30: Diabetes mellitus diagnostic Read
66Ah.00 insulin needles changed for each injection res30: Diabetes mellitus diagnostic Read
66Ai.00 diabetic 6 month review res30: Diabetes mellitus diagnostic Read
66Aj.00 insulin needles changed less than once a day res30: Diabetes mellitus diagnostic Read
66Ak.00 diabetic monitoring - lower risk albumin excretion res30: Diabetes mellitus diagnostic Read
66Al.00 diabetic monitoring - higher risk albumin excretion res30: Diabetes mellitus diagnostic Read
66Am.00 insulin dose changed res30: Diabetes mellitus diagnostic Read
66An.00 diabetes type 1 review res30: Diabetes mellitus diagnostic Read
66Ao.00 diabetes type 2 review res30: Diabetes mellitus diagnostic Read
66Ap.00 insulin treatment initiated res30: Diabetes mellitus diagnostic Read
66Aq.00 diabetic foot screen res30: Diabetes mellitus diagnostic Read
66As.00 diabetic on subcutaneous treatment res30: Diabetes mellitus diagnostic Read
66At.00 diabetic dietary review res30: Diabetes mellitus diagnostic Read
66At000 type i diabetic dietary review res30: Diabetes mellitus diagnostic Read
66At011 type 1 diabetic dietary review res30: Diabetes mellitus diagnostic Read
66At100 type ii diabetic dietary review res30: Diabetes mellitus diagnostic Read
66At111 type 2 diabetic dietary review res30: Diabetes mellitus diagnostic Read
66Au.00 diabetic erectile dysfunction review res30: Diabetes mellitus diagnostic Read
66Av.00 diabetic assessment of erectile dysfunction res30: Diabetes mellitus diagnostic Read
66Aw.00 insulin dose res30: Diabetes mellitus diagnostic Read
66b1.00 diabetic monitoring not required res30: Diabetes mellitus diagnostic Read
66o..00 further diabetic monitoring res30: Diabetes mellitus diagnostic Read
6761 diabetic pre-pregnancy counselling res30: Diabetes mellitus diagnostic Read
679L.00 health education - diabetes res30: Diabetes mellitus diagnostic Read
679L000 education in self management of diabetes res30: Diabetes mellitus diagnostic Read
679L200 education about diabetes and driving res30: Diabetes mellitus diagnostic Read
679L211 advice about diabetes and driving res30: Diabetes mellitus diagnostic Read
679R.00 patient offered diabetes structured education programme res30: Diabetes mellitus diagnostic Read
679c.00 insulin administration education res30: Diabetes mellitus diagnostic Read
67D8.00 provision of diabetes clinical summary res30: Diabetes mellitus diagnostic Read
68A7.00 diabetic retinopathy screening res30: Diabetes mellitus diagnostic Read
68A9.00 diabetic retinopathy screening offered res30: Diabetes mellitus diagnostic Read
68AB.00 diabetic digital retinopathy screening offered res30: Diabetes mellitus diagnostic Read
7276 pan retinal photocoagulation for diabetes res30: Diabetes mellitus diagnostic Read
7L10000 continuous subcutaneous infusion of insulin res30: Diabetes mellitus diagnostic Read
7L10011 subcutaneous infusion with insulin pump res30: Diabetes mellitus diagnostic Read
7L19800 subcutaneous injection of insulin res30: Diabetes mellitus diagnostic Read
7L19J00 subcutaneous injection of exenatide res30: Diabetes mellitus diagnostic Read
889A.00 diab mellit insulin-glucose infus acute myocardial infarct res30: Diabetes mellitus diagnostic Read
8A12.00 diabetic crisis monitoring res30: Diabetes mellitus diagnostic Read
8A13.00 diabetic stabilisation res30: Diabetes mellitus diagnostic Read
8A17.00 self monitoring of blood glucose res30: Diabetes mellitus diagnostic Read
8B3l.00 diabetes medication review res30: Diabetes mellitus diagnostic Read
8BAi.00 insulin passport completed res30: Diabetes mellitus diagnostic Read
8BAj.00 informed dissent not to carry insulin passport res30: Diabetes mellitus diagnostic Read
8BAm.00 insulin passport checked res30: Diabetes mellitus diagnostic Read
8BL2.00 patient on maximal tolerated therapy for diabetes res30: Diabetes mellitus diagnostic Read
8CA4100 pt advised re diabetic diet res30: Diabetes mellitus diagnostic Read
8CAQ.00 advice about blood glucose control res30: Diabetes mellitus diagnostic Read
8CE0100 insulin alert patient information booklet given res30: Diabetes mellitus diagnostic Read
8CE0200 insulin passport given res30: Diabetes mellitus diagnostic Read
8CMW700 diabetes clinical pathway res30: Diabetes mellitus diagnostic Read
8CP2.00 transition of diabetes care options discussed res30: Diabetes mellitus diagnostic Read
8CR2.00 diabetes clinical management plan res30: Diabetes mellitus diagnostic Read
8CS0.00 diabetes care plan agreed res30: Diabetes mellitus diagnostic Read
8H2J.00 admit diabetic emergency res30: Diabetes mellitus diagnostic Read
8H3O.00 non-urgent diabetic admission res30: Diabetes mellitus diagnostic Read
8H4F.00 referral to diabetologist res30: Diabetes mellitus diagnostic Read
8H4e.00 referral to diabetes special interest general practitioner res30: Diabetes mellitus diagnostic Read
8H7C.00 refer, diabetic liaison nurse res30: Diabetes mellitus diagnostic Read
8H7f.00 referral to diabetes nurse res30: Diabetes mellitus diagnostic Read
8H7r.00 refer to diabetic foot screener res30: Diabetes mellitus diagnostic Read
8HBG.00 diabetic retinopathy 12 month review res30: Diabetes mellitus diagnostic Read
8HBH.00 diabetic retinopathy 6 month review res30: Diabetes mellitus diagnostic Read
8HHy.00 referral to diabetic register res30: Diabetes mellitus diagnostic Read
8HKE.00 diabetology d.v. requested res30: Diabetes mellitus diagnostic Read
8HLE.00 diabetology d.v. done res30: Diabetes mellitus diagnostic Read
8HME.00 listed for diabetology admissn res30: Diabetes mellitus diagnostic Read
8HTE100 referral to community diabetes clinic res30: Diabetes mellitus diagnostic Read
8HTe.00 referral to diabetes preconception counselling clinic res30: Diabetes mellitus diagnostic Read
8HTi.00 referral to multidisciplinary diabetic clinic res30: Diabetes mellitus diagnostic Read
8HTk.00 referral to diabetic eye clinic res30: Diabetes mellitus diagnostic Read
8HVU.00 private referral to diabetologist res30: Diabetes mellitus diagnostic Read
8Hg4.00 discharged from care of diabetes specialist nurse res30: Diabetes mellitus diagnostic Read
8HgC.00 discharged from diabetes shared care programme res30: Diabetes mellitus diagnostic Read
8Hj0.00 referral to diabetes structured education programme res30: Diabetes mellitus diagnostic Read
8Hj3.00 referral to dafne diabetes structured education programme res30: Diabetes mellitus diagnostic Read
8Hj4.00 referral to desmond diabetes structured education programme res30: Diabetes mellitus diagnostic Read
8Hj5.00 referral to xpert diabetes structured education programme res30: Diabetes mellitus diagnostic Read
8Hl1.00 referral for diabetic retinopathy screening res30: Diabetes mellitus diagnostic Read
8Hl4.00 referral to community diabetes specialist nurse res30: Diabetes mellitus diagnostic Read
8Hlc.00 referral to community diabetes service res30: Diabetes mellitus diagnostic Read
8I2P.00 sulphonylureas contraindicated res30: Diabetes mellitus diagnostic Read
8I2S.00 glitazones contraindicated res30: Diabetes mellitus diagnostic Read
8I3W.00 diabetic foot examination declined res30: Diabetes mellitus diagnostic Read
8I3X.00 diabetic retinopathy screening refused res30: Diabetes mellitus diagnostic Read
8I3k.00 insulin therapy declined res30: Diabetes mellitus diagnostic Read
8I57.00 patient held diabetic record declined res30: Diabetes mellitus diagnostic Read
8I6F.00 diabetic retinopathy screening not indicated res30: Diabetes mellitus diagnostic Read
8I6G.00 diabetic foot examination not indicated res30: Diabetes mellitus diagnostic Read
8I7B.00 metformin not tolerated res30: Diabetes mellitus diagnostic Read
8I7C.00 sulphonylureas not tolerated res30: Diabetes mellitus diagnostic Read
8I81.00 did not complete diabetes structured education programme res30: Diabetes mellitus diagnostic Read
8I82.00 did not complete dafne diabetes structured education program res30: Diabetes mellitus diagnostic Read
8I83.00 did not complete desmond diabetes structured educat program res30: Diabetes mellitus diagnostic Read
8I84.00 did not complete xpert diabetes structured education program res30: Diabetes mellitus diagnostic Read
8IAs.00 diabetic dietary review declined res30: Diabetes mellitus diagnostic Read
8IE2.00 diabetes care plan declined res30: Diabetes mellitus diagnostic Read
8IEQ.00 referral to community diabetes specialist nurse declined res30: Diabetes mellitus diagnostic Read
8IEa.00 referral to dafne diabetes structured educn prog declined res30: Diabetes mellitus diagnostic Read
8OA3.00 provision of written information about diabetes and driving res30: Diabetes mellitus diagnostic Read
9360 patient held diabetic record issued res30: Diabetes mellitus diagnostic Read
93C4.00 patient consent given for addition to diabetic register res30: Diabetes mellitus diagnostic Read
9M00.00 informed consent for diabetes national audit res30: Diabetes mellitus diagnostic Read
9M10.00 informed dissent for diabetes national audit res30: Diabetes mellitus diagnostic Read
9N0m.00 seen in diabetic nurse consultant clinic res30: Diabetes mellitus diagnostic Read
9N0n.00 seen in community diabetes specialist clinic res30: Diabetes mellitus diagnostic Read
9N0o.00 seen in community diabetic specialist nurse clinic res30: Diabetes mellitus diagnostic Read
9N1Q.00 seen in diabetic clinic res30: Diabetes mellitus diagnostic Read
9N1i.00 seen in diabetic foot clinic res30: Diabetes mellitus diagnostic Read
9N1o.00 seen in multidisciplinary diabetic clinic res30: Diabetes mellitus diagnostic Read
9N1v.00 seen in diabetic eye clinic res30: Diabetes mellitus diagnostic Read
9N2d.00 seen by diabetologist res30: Diabetes mellitus diagnostic Read
9N2i.00 seen by diabetic liaison nurse res30: Diabetes mellitus diagnostic Read
9N4I.00 dna - did not attend diabetic clinic res30: Diabetes mellitus diagnostic Read
9N4p.00 did not attend diabetic retinopathy clinic res30: Diabetes mellitus diagnostic Read
9NM0.00 attending diabetes clinic res30: Diabetes mellitus diagnostic Read
9NN8.00 under care of diabetologist res30: Diabetes mellitus diagnostic Read
9NN9.00 under care of diabetes specialist nurse res30: Diabetes mellitus diagnostic Read
9NND.00 under care of diabetic foot screener res30: Diabetes mellitus diagnostic Read
9NiA.00 did not attend diabetes structured education programme res30: Diabetes mellitus diagnostic Read
9NiC.00 did not attend dafne diabetes structured education programme res30: Diabetes mellitus diagnostic Read
9NiD.00 did not attend desmond diabetes structured education program res30: Diabetes mellitus diagnostic Read
9NiE.00 did not attend xpert diabetes structured education programme res30: Diabetes mellitus diagnostic Read
9NiZ.00 did not attend diabetes foot screening res30: Diabetes mellitus diagnostic Read
9Nl4.00 seen by general practitioner special interest in diabetes res30: Diabetes mellitus diagnostic Read
9OL..00 diabetes monitoring admin. res30: Diabetes mellitus diagnostic Read
9OL..11 diabetes clinic administration res30: Diabetes mellitus diagnostic Read
9OL1.00 attends diabetes monitoring res30: Diabetes mellitus diagnostic Read
9OL2.00 refuses diabetes monitoring res30: Diabetes mellitus diagnostic Read
9OL3.00 diabetes monitoring default res30: Diabetes mellitus diagnostic Read
9OL4.00 diabetes monitoring 1st letter res30: Diabetes mellitus diagnostic Read
9OL5.00 diabetes monitoring 2nd letter res30: Diabetes mellitus diagnostic Read
9OL6.00 diabetes monitoring 3rd letter res30: Diabetes mellitus diagnostic Read
9OL7.00 diabetes monitor.verbal invite res30: Diabetes mellitus diagnostic Read
9OL8.00 diabetes monitor.phone invite res30: Diabetes mellitus diagnostic Read
9OL9.00 diabetes monitoring deleted res30: Diabetes mellitus diagnostic Read
9OLA.00 diabetes monitor. check done res30: Diabetes mellitus diagnostic Read
9OLA.11 diabetes monitored res30: Diabetes mellitus diagnostic Read
9OLB.00 attended diabetes structured education programme res30: Diabetes mellitus diagnostic Read
9OLD.00 diabetic patient unsuitable for digital retinal photography res30: Diabetes mellitus diagnostic Read
9OLE.00 attended desmond structured programme res30: Diabetes mellitus diagnostic Read
9OLF.00 diabetes structured education programme completed res30: Diabetes mellitus diagnostic Read
9OLG.00 attended xpert diabetes structured education programme res30: Diabetes mellitus diagnostic Read
9OLH.00 attended dafne diabetes structured education programme res30: Diabetes mellitus diagnostic Read
9OLJ.00 dafne diabetes structured education programme completed res30: Diabetes mellitus diagnostic Read
9OLK.00 desmond diabetes structured education programme completed res30: Diabetes mellitus diagnostic Read
9OLL.00 xpert diabetes structured education programme completed res30: Diabetes mellitus diagnostic Read
9OLM.00 diabetes structured education programme declined res30: Diabetes mellitus diagnostic Read
9OLN.00 diabetes monitor invitation by sms (short message service) res30: Diabetes mellitus diagnostic Read
9OLZ.00 diabetes monitoring admin.nos res30: Diabetes mellitus diagnostic Read
9Oy..00 diabetes screening administration res30: Diabetes mellitus diagnostic Read
9Oy0000 diabetic foot screening invitation res30: Diabetes mellitus diagnostic Read
9Oy0200 diabetic foot screening invitation first letter res30: Diabetes mellitus diagnostic Read
9Oy0300 diabetic foot screening invitation second letter res30: Diabetes mellitus diagnostic Read
9Oy0400 diabetic foot screening invitation third letter res30: Diabetes mellitus diagnostic Read
9b92000 diabetic medicine res30: Diabetes mellitus diagnostic Read
9h4..00 exception reporting: diabetes quality indicators res30: Diabetes mellitus diagnostic Read
9h41.00 excepted from diabetes qual indicators: patient unsuitable res30: Diabetes mellitus diagnostic Read
9h42.00 excepted from diabetes quality indicators: informed dissent res30: Diabetes mellitus diagnostic Read
9kL..00 insulin initiation - enhanced services administration res30: Diabetes mellitus diagnostic Read
9m00.00 eligible for diabetic retinopathy screening res30: Diabetes mellitus diagnostic Read
9m0A.00 declined diabetic retinopathy screening res30: Diabetes mellitus diagnostic Read
C10..00 diabetes mellitus res30: Diabetes mellitus diagnostic Read
C100.00 diabetes mellitus with no mention of complication res30: Diabetes mellitus diagnostic Read
C100000 diabetes mellitus, juvenile type, no mention of complication res30: Diabetes mellitus diagnostic Read
C100011 insulin dependent diabetes mellitus res30: Diabetes mellitus diagnostic Read
C100100 diabetes mellitus, adult onset, no mention of complication res30: Diabetes mellitus diagnostic Read
C100111 maturity onset diabetes res30: Diabetes mellitus diagnostic Read
C100112 non-insulin dependent diabetes mellitus res30: Diabetes mellitus diagnostic Read
C100z00 diabetes mellitus nos with no mention of complication res30: Diabetes mellitus diagnostic Read
C101.00 diabetes mellitus with ketoacidosis res30: Diabetes mellitus diagnostic Read
C101000 diabetes mellitus, juvenile type, with ketoacidosis res30: Diabetes mellitus diagnostic Read
C101100 diabetes mellitus, adult onset, with ketoacidosis res30: Diabetes mellitus diagnostic Read
C101y00 other specified diabetes mellitus with ketoacidosis res30: Diabetes mellitus diagnostic Read
C101z00 diabetes mellitus nos with ketoacidosis res30: Diabetes mellitus diagnostic Read
C102.00 diabetes mellitus with hyperosmolar coma res30: Diabetes mellitus diagnostic Read
C102000 diabetes mellitus, juvenile type, with hyperosmolar coma res30: Diabetes mellitus diagnostic Read
C102100 diabetes mellitus, adult onset, with hyperosmolar coma res30: Diabetes mellitus diagnostic Read
C102z00 diabetes mellitus nos with hyperosmolar coma res30: Diabetes mellitus diagnostic Read
C103.00 diabetes mellitus with ketoacidotic coma res30: Diabetes mellitus diagnostic Read
C103000 diabetes mellitus, juvenile type, with ketoacidotic coma res30: Diabetes mellitus diagnostic Read
C103100 diabetes mellitus, adult onset, with ketoacidotic coma res30: Diabetes mellitus diagnostic Read
C103y00 other specified diabetes mellitus with coma res30: Diabetes mellitus diagnostic Read
C103z00 diabetes mellitus nos with ketoacidotic coma res30: Diabetes mellitus diagnostic Read
C104.00 diabetes mellitus with renal manifestation res30: Diabetes mellitus diagnostic Read
C104.11 diabetic nephropathy res30: Diabetes mellitus diagnostic Read
C104000 diabetes mellitus, juvenile type, with renal manifestation res30: Diabetes mellitus diagnostic Read
C104100 diabetes mellitus, adult onset, with renal manifestation res30: Diabetes mellitus diagnostic Read
C104y00 other specified diabetes mellitus with renal complications res30: Diabetes mellitus diagnostic Read
C104z00 diabetes mellitus with nephropathy nos res30: Diabetes mellitus diagnostic Read
C105.00 diabetes mellitus with ophthalmic manifestation res30: Diabetes mellitus diagnostic Read
C105000 diabetes mellitus, juvenile type, + ophthalmic manifestation res30: Diabetes mellitus diagnostic Read
C105100 diabetes mellitus, adult onset, + ophthalmic manifestation res30: Diabetes mellitus diagnostic Read
C105y00 other specified diabetes mellitus with ophthalmic complicatn res30: Diabetes mellitus diagnostic Read
C105z00 diabetes mellitus nos with ophthalmic manifestation res30: Diabetes mellitus diagnostic Read
C106.00 diabetes mellitus with neurological manifestation res30: Diabetes mellitus diagnostic Read
C106.11 diabetic amyotrophy res30: Diabetes mellitus diagnostic Read
C106.12 diabetes mellitus with neuropathy res30: Diabetes mellitus diagnostic Read
C106.13 diabetes mellitus with polyneuropathy res30: Diabetes mellitus diagnostic Read
C106000 diabetes mellitus, juvenile, + neurological manifestation res30: Diabetes mellitus diagnostic Read
C106100 diabetes mellitus, adult onset, + neurological manifestation res30: Diabetes mellitus diagnostic Read
C106y00 other specified diabetes mellitus with neurological comps res30: Diabetes mellitus diagnostic Read
C106z00 diabetes mellitus nos with neurological manifestation res30: Diabetes mellitus diagnostic Read
C107.00 diabetes mellitus with peripheral circulatory disorder res30: Diabetes mellitus diagnostic Read
C107.11 diabetes mellitus with gangrene res30: Diabetes mellitus diagnostic Read
C107.12 diabetes with gangrene res30: Diabetes mellitus diagnostic Read
C107000 diabetes mellitus, juvenile +peripheral circulatory disorder res30: Diabetes mellitus diagnostic Read
C107100 diabetes mellitus, adult, + peripheral circulatory disorder res30: Diabetes mellitus diagnostic Read
C107200 diabetes mellitus, adult with gangrene res30: Diabetes mellitus diagnostic Read
C107300 iddm with peripheral circulatory disorder res30: Diabetes mellitus diagnostic Read
C107400 niddm with peripheral circulatory disorder res30: Diabetes mellitus diagnostic Read
C107z00 diabetes mellitus nos with peripheral circulatory disorder res30: Diabetes mellitus diagnostic Read
C108.00 insulin dependent diabetes mellitus res30: Diabetes mellitus diagnostic Read
C108.11 iddm-insulin dependent diabetes mellitus res30: Diabetes mellitus diagnostic Read
C108.12 type 1 diabetes mellitus res30: Diabetes mellitus diagnostic Read
C108.13 type i diabetes mellitus res30: Diabetes mellitus diagnostic Read
C108000 insulin-dependent diabetes mellitus with renal complications res30: Diabetes mellitus diagnostic Read
C108011 type i diabetes mellitus with renal complications res30: Diabetes mellitus diagnostic Read
C108012 type 1 diabetes mellitus with renal complications res30: Diabetes mellitus diagnostic Read
C108100 insulin-dependent diabetes mellitus with ophthalmic comps res30: Diabetes mellitus diagnostic Read
C108112 type 1 diabetes mellitus with ophthalmic complications res30: Diabetes mellitus diagnostic Read
C108200 insulin-dependent diabetes mellitus with neurological comps res30: Diabetes mellitus diagnostic Read
C108211 type i diabetes mellitus with neurological complications res30: Diabetes mellitus diagnostic Read
C108212 type 1 diabetes mellitus with neurological complications res30: Diabetes mellitus diagnostic Read
C108300 insulin dependent diabetes mellitus with multiple complicatn res30: Diabetes mellitus diagnostic Read
C108311 type i diabetes mellitus with multiple complications res30: Diabetes mellitus diagnostic Read
C108400 unstable insulin dependent diabetes mellitus res30: Diabetes mellitus diagnostic Read
C108411 unstable type i diabetes mellitus res30: Diabetes mellitus diagnostic Read
C108412 unstable type 1 diabetes mellitus res30: Diabetes mellitus diagnostic Read
C108500 insulin dependent diabetes mellitus with ulcer res30: Diabetes mellitus diagnostic Read
C108511 type i diabetes mellitus with ulcer res30: Diabetes mellitus diagnostic Read
C108512 type 1 diabetes mellitus with ulcer res30: Diabetes mellitus diagnostic Read
C108600 insulin dependent diabetes mellitus with gangrene res30: Diabetes mellitus diagnostic Read
C108700 insulin dependent diabetes mellitus with retinopathy res30: Diabetes mellitus diagnostic Read
C108711 type i diabetes mellitus with retinopathy res30: Diabetes mellitus diagnostic Read
C108712 type 1 diabetes mellitus with retinopathy res30: Diabetes mellitus