Drug or chemical induced diabetes mellitus with hyperosmolarity
ICD-10 E09.0 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with hyperosmolarity.
Drug or chemical induced diabetes mellitus with hyperosmolarity refers to a form of diabetes that arises due to the administration of certain medications or exposure to specific chemicals that disrupt normal glucose metabolism. This condition is characterized by elevated blood glucose levels leading to hyperosmolarity, a state where the blood becomes excessively concentrated due to high glucose levels. Patients may present with symptoms such as polyuria, polydipsia, and dehydration. The hyperosmolar state can lead to serious complications, including hyperglycemic hyperosmolar state (HHS), which is a medical emergency requiring immediate intervention. Management typically involves the cessation of the offending agent, careful monitoring of blood glucose levels, and the administration of insulin to restore normal glucose levels. The condition can occur in patients with a history of diabetes or in those without prior diabetes, depending on the drug or chemical involved. Understanding the underlying cause and the specific medication responsible is crucial for effective treatment and prevention of recurrence.
Detailed medication history, lab results showing hyperglycemia, and treatment plans.
Patients presenting with new-onset diabetes after starting a new medication.
Endocrinologists must ensure clear documentation of the causal relationship between the drug and diabetes.
Comprehensive patient history, including medication review and assessment of complications.
Management of patients with diabetes symptoms after chemotherapy or corticosteroid use.
Internists should document all relevant clinical findings and treatment responses.
Used for follow-up visits for patients diagnosed with drug-induced diabetes.
Documentation of the patient's history, medication review, and treatment plan.
Endocrinologists should ensure that the visit details reflect the complexity of managing drug-induced diabetes.
Common drugs that can induce diabetes include corticosteroids, antipsychotics, and certain diuretics. Each of these can affect insulin secretion or action, leading to elevated blood glucose levels.
