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EndocrinologyAssessment
Patient has well-controlled Type 2 diabetes mellitus with good glycemic control
Meaning
The patient's Type 2 diabetes mellitus is effectively managed, and their blood sugar levels are consistently within the target range.
Clinical Context
This phrase indicates that the patient's diabetes management plan, including lifestyle modifications and/or medications, is successful in maintaining optimal blood glucose levels.
Example Usage
"Patient has well-controlled Type 2 diabetes mellitus with good glycemic control. HbA1c has remained below 7% for the past year."
Usage Context
Used to document the status of a patient's Type 2 diabetes and the effectiveness of their current treatment plan.
Related Phrases
HbA1c within target rangeStable blood glucose levelsCompliant with diabetes management plan
Related ICD-10 Code
E11.9
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Frequently Asked Questions
Common questions about using medical phrases in clinical documentation
When documenting "Patient has well-controlled Type 2 diabetes mellitus with good glycemic control" in your clinical notes, ensure it's placed in the appropriate section (Assessment) and provides clear, accurate information about the patient's condition. Always follow your institution's documentation guidelines and ensure the phrase accurately reflects the patient's clinical status.
This phrase is clinically significant because this phrase indicates that the patient's diabetes management plan, including lifestyle modifications and/or medications, is successful in maintaining optimal blood glucose levels. It helps healthcare providers understand the patient's condition and make informed decisions about diagnosis and treatment planning.
While this phrase is commonly used in Endocrinology, similar documentation may be applicable across multiple specialties when the clinical context is appropriate. Always ensure the phrase accurately describes the patient's condition regardless of the specialty context.