Drug or chemical induced diabetes mellitus with hypoglycemia with coma
ICD-10 E09.641 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with hypoglycemia with coma.
E09.641 refers to diabetes mellitus that is induced by drugs or chemicals, characterized by episodes of hypoglycemia leading to coma. This condition typically arises in patients who are receiving pharmacological treatments that affect glucose metabolism, such as corticosteroids, antipsychotics, or certain chemotherapeutic agents. The hypoglycemic episodes can be severe and may result in loss of consciousness, necessitating immediate medical intervention. Management of this condition involves careful monitoring of blood glucose levels, adjustment of medication dosages, and potentially the use of glucose administration to counteract hypoglycemia. The presence of coma indicates a critical state that requires urgent care, often in an inpatient setting. Understanding the underlying cause of the diabetes, the specific drug or chemical involved, and the patient's overall health status is crucial for effective treatment and management.
Detailed medication history, blood glucose monitoring records, and treatment plans.
Patients presenting with new-onset diabetes due to medication, management of hypoglycemic episodes.
Ensure clear documentation of the drug responsible for diabetes and any changes in treatment.
Immediate assessment notes, glucose levels, and treatment administered during hypoglycemic episodes.
Patients arriving in coma due to hypoglycemia, requiring rapid intervention.
Document the timeline of events leading to the coma for accurate coding.
Used to monitor long-term glucose control in patients with drug-induced diabetes.
Document the reason for the test and the patient's medication history.
Endocrinologists may require more frequent monitoring.
Several classes of medications can induce diabetes, including corticosteroids, antipsychotics, and certain antiretrovirals. It is essential to review the patient's medication history to identify potential causes.
