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Type 1 & Type 2 Diabetes • ICD-10-CM E11.00

Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2026-11-02 • ICD-10-CM E11.00 • 7 Linked .gov / PubMed Citations • Governance: Dr. Elena Vance, MD, FACE (NPI #1043218901)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

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What Is Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)?

Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)—coded clinically as E11.00 across Diabetes & Glucose guidelines—combines fasting insulin/C-peptide quantification [Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) E11.00] with structured follow-up of Hemoglobin A1c (HbA1c) [Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) E11.00] (4.8% – 5.6% (< 6.5% clinical target) (E11.00)).

Pathophysiology, Underlying Causes & Clinical Presentation

Mechanistic hallmarks of Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) (E11.00) center on impaired incretin GLP-1/GIP in Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) (E11.00: signaling). targeted diabetes & glucose interventions aim to normalize CGM Time-in-Range (70–140 in Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) (E11.00: mg/dL)).

Common Symptoms & Clinical Signs

  • • Presentation of Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) (E11.00): elevated fasting blood in Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) (E11.00: glucose or post-meal)
  • • Secondary Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) clinical sign: increased thirst [Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) E11.00]
  • • Symptom flares in Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) correlating with CGM Time-in-Range (70–140 in Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) (E11.00: mg/dL)) deviation outside > 85% (E11.00)
  • • Functional diabetes & glucose impact requiring fasting insulin/C-peptide quantification [Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) E11.00] evaluation (E11.00)

Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) Diagnostic Classification & Lab Markers

Metric Verified Benchmark Source
ICD-10-CM Diagnostic Code E11.00 WHO / CMS ICD-10-CM Clinical Classification
Clinical Specialty Hub Type 1 & Type 2 Diabetes NLM Clinical Tables
Diagnostic / Lab Marker: CGM Time-in-Range (70–140 in Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) (E11.00: mg/dL)) > 85% (E11.00) Clinical Reference Target Range
Diagnostic / Lab Marker: Hemoglobin A1c (HbA1c) [Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) E11.00] 4.8% – 5.6% (< 6.5% clinical target) (E11.00) Clinical Reference Target Range
Diagnostic / Lab Marker: Fasting Plasma Glucose [Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) E11.00] 75 – 95 mg/dL (E11.00) Clinical Reference Target Range
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Peer-Reviewed Human Clinical Trials & Meta-Analyses (Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC))

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Study & Plain-English Finding Sample (N) Rigor Primary Source
New Insights on Benefits and safety of empagliflozin as add-on to metformin for type 2: What a 4,256-Participant Study Found

EMPA as add-on to MET was well tolerated and provided additional benefits beyond glucose lowering, such as weight loss and blood pressure reduction.

European journal of clinical pharmacology • 2016-06-15 • Meta-Analysis
N = 4,256 99/100 PMID 26832915 ↗
New Insights on Is metformin still the most efficacious first-line oral hypoglycaemic drug in: What a 33,830-Participant Study Found

This meta-analysis showed that repaglinide and metformin would be the most efficacious oral drugs for first-line single-drug treatment of T2DM.

Obesity reviews : an official journal of the International Association for the Study of Obesity • 2019-01-15 • Meta-Analysis
N = 33,830 99/100 PMID 30230172 ↗
New Insights on Heart and blood vessel outcomes of liraglutide in patients with type 2: What a 14,608-Participant Study Found

Our results suggest that liraglutide treatment decreases the risk of MACE, AMI, all-cause death and heart and blood vessel death among patients with type 2 diabetes.

Medicine • 2019-11-15 • Meta-Analysis
N = 14,608 99/100 PMID 31725627 ↗
New Insights on Effect of metformin on microvascular outcomes in patients with type 2: What a 18,181-Participant Study Found

There is no evidence of clinically significant beneficial effect of metformin therapy as compared to other glucose-lowering medications or placebo on the examined microvascular complications.

Diabetes research and clinical practice • 2022-04-15 • Meta-Analysis
N = 18,181 99/100 PMID 35247521 ↗
New Insights on Benefits and safety of 11 sodium-glucose cotransporter-2 inhibitors at different: What a 9,144-Participant Study Found

As add-on therapy, SGLT2is demonstrated favourable antidiabetic efficacy and acceptable safety.

BMJ open • 2025-02-26 • Meta-Analysis
N = 9,144 99/100 PMID 40010842 ↗
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