Drug or chemical induced diabetes mellitus with hyperosmolarity with coma
ICD-10 E09.01 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with hyperosmolarity with coma.
E09.01 refers to diabetes mellitus that is induced by drugs or chemicals, characterized by hyperosmolarity and the presence of coma. This condition typically arises when certain medications, such as glucocorticoids or antipsychotics, disrupt normal glucose metabolism, leading to elevated blood glucose levels. Hyperosmolar hyperglycemic state (HHS) is a serious complication that can occur, particularly in patients with underlying diabetes or those who are predisposed to hyperglycemia. The coma associated with this condition is a critical state requiring immediate medical intervention. Management involves careful monitoring of blood glucose levels, hydration, and potentially insulin therapy to restore normal metabolic function. The presence of coma indicates a severe level of hyperglycemia and necessitates intensive care management. Understanding the underlying causes, including the specific drugs involved, is crucial for effective treatment and prevention of recurrence.
Thorough documentation of medication history, glucose levels, and management strategies.
Patients presenting with hyperglycemia after starting new medications.
Endocrinologists must ensure that all contributing factors to hyperglycemia are documented.
Detailed records of patient presentation, vital signs, and treatment administered.
Patients arriving in a coma due to hyperglycemia.
Emergency physicians should document the timeline of events leading to the patient's condition.
Used for patients presenting with severe hyperglycemia and coma.
Document the patient's presenting symptoms, vital signs, and treatment provided.
Emergency physicians should ensure that all relevant clinical details are captured.
Several classes of medications can induce diabetes, including glucocorticoids, antipsychotics, and certain antihypertensives. It is essential to review the patient's medication history to identify potential causes.
