Drug or chemical induced diabetes mellitus with other specified complication
ICD-10 E09.69 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with other specified complication.
E09.69 refers to diabetes mellitus that is induced by drugs or chemicals, which can occur due to various medications such as corticosteroids, antipsychotics, or certain chemotherapy agents. This condition is characterized by an increase in blood glucose levels resulting from the pharmacological effects of these substances. Patients may present with symptoms similar to those of type 2 diabetes, including polyuria, polydipsia, and unexplained weight loss. Complications can arise from the underlying diabetes, such as neuropathy, retinopathy, or cardiovascular issues, and may be exacerbated by the drug-induced nature of the condition. Management typically involves monitoring HbA1c levels, which should be kept below 7% for optimal control, and may require insulin therapy or oral hypoglycemics depending on the severity of the condition. It is crucial for healthcare providers to identify the offending agent and consider alternative treatments to mitigate the risk of long-term complications.
Detailed medication history, HbA1c levels, and management plans
Patients presenting with new-onset diabetes after starting corticosteroids
Ensure clear documentation of the timeline of drug exposure and diabetes onset
Medication management records, monitoring of metabolic side effects
Patients on antipsychotic medications developing glucose intolerance
Document the psychiatric diagnosis and rationale for medication choice
Used for follow-up visits for diabetes management
Document patient history, examination findings, and treatment plan
Endocrinologists should focus on metabolic control and medication adjustments
Common drugs that can induce diabetes include corticosteroids, certain antipsychotics, and thiazide diuretics. These medications can affect insulin sensitivity or secretion, leading to elevated blood glucose levels.
