Chromium deficiency
ICD-10 E61.4 is a billable code used to indicate a diagnosis of chromium deficiency.
Chromium deficiency is a condition characterized by insufficient levels of chromium, an essential trace mineral that plays a critical role in carbohydrate, fat, and protein metabolism. It is particularly important for the action of insulin, which regulates blood sugar levels. A deficiency in chromium can lead to impaired glucose tolerance, increased insulin resistance, and may contribute to the development of type 2 diabetes. Symptoms of chromium deficiency can include fatigue, weight loss, and neuropathy. The condition is often associated with poor dietary intake, malabsorption syndromes, or excessive loss of chromium through urine. Dietary sources of chromium include whole grains, nuts, and green leafy vegetables. Supplementation may be necessary in cases of deficiency, particularly for individuals with diabetes or metabolic syndrome. Diagnosis typically involves clinical evaluation and may include serum chromium levels, although these tests can be challenging due to the low concentration of chromium in the blood. Treatment focuses on dietary modification and supplementation to restore adequate chromium levels and improve metabolic function.
Detailed patient history regarding dietary habits, metabolic conditions, and insulin sensitivity.
Patients with type 2 diabetes presenting with unexplained insulin resistance.
Endocrinologists should ensure comprehensive metabolic panels are included to assess glucose tolerance.
Assessment of dietary intake and nutritional status, including food frequency questionnaires.
Patients with malabsorption syndromes or those on restrictive diets.
Nutritionists should document specific dietary sources of chromium and any supplementation provided.
Used to assess glucose levels in patients suspected of having chromium deficiency.
Document the reason for glucose testing and any related symptoms.
Endocrinologists should correlate glucose levels with chromium status.
Common symptoms include fatigue, weight loss, neuropathy, and impaired glucose tolerance.
Diagnosis is based on clinical symptoms, dietary history, and laboratory tests measuring chromium levels.
Good sources include whole grains, nuts, green leafy vegetables, and meats.
Yes, chromium supplements can be used to restore adequate levels, especially in individuals with dietary deficiencies.
