Drug or chemical induced diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)
ICD-10 E09.00 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (nkhhc).
E09.00 refers to diabetes mellitus that is induced by drugs or chemicals, characterized by hyperosmolarity without the presence of nonketotic hyperglycemic-hyperosmolar coma (NKHHC). This condition can arise from various medications, including glucocorticoids, thiazide diuretics, and antipsychotics, which can lead to insulin resistance or impaired insulin secretion. Patients may present with elevated blood glucose levels, dehydration, and hyperosmolarity, but without the severe metabolic derangements seen in NKHHC. Management typically involves addressing the underlying cause, adjusting medications, and implementing lifestyle modifications. Monitoring HbA1c levels is crucial for assessing long-term glycemic control, and insulin therapy may be necessary to achieve target glucose levels. Complications can include cardiovascular disease, neuropathy, nephropathy, and retinopathy, necessitating comprehensive management strategies.
Detailed medication history, HbA1c levels, and management plans.
Patients presenting with new-onset diabetes after starting glucocorticoids.
Ensure clear documentation of the relationship between drug use and diabetes onset.
Comprehensive patient history, including medication review and metabolic assessments.
Management of patients with diabetes secondary to medications during hospitalization.
Monitor for complications and document any changes in treatment plans.
Used for follow-up visits for management of drug-induced diabetes.
Document medication history, glucose levels, and management plan.
Endocrinologists should focus on medication adjustments and monitoring.
Common medications include glucocorticoids, thiazide diuretics, and certain antipsychotics, which can lead to insulin resistance or impaired insulin secretion.
