ICD-10 Diagnosis Code E09.649

Drug/chem diabetes mellitus w hypoglycemia w/o coma

Diagnosis Code E09.649

ICD-10: E09.649
Short Description: Drug/chem diabetes mellitus w hypoglycemia w/o coma
Long Description: Drug or chemical induced diabetes mellitus with hypoglycemia without coma
This is the 2017 version of the ICD-10-CM diagnosis code E09.649

Code Classification
  • Endocrine, nutritional and metabolic diseases
    • Diabetes mellitus (E08-E13)
      • Drug or chemical induced diabetes mellitus (E09)

Information for Patients


Also called: DM, Diabetes mellitus

Diabetes is a disease in which your blood glucose, or blood sugar, levels are too high. Glucose comes from the foods you eat. Insulin is a hormone that helps the glucose get into your cells to give them energy. With type 1 diabetes, your body does not make insulin. With type 2 diabetes, the more common type, your body does not make or use insulin well. Without enough insulin, the glucose stays in your blood. You can also have prediabetes. This means that your blood sugar is higher than normal but not high enough to be called diabetes. Having prediabetes puts you at a higher risk of getting type 2 diabetes.

Over time, having too much glucose in your blood can cause serious problems. It can damage your eyes, kidneys, and nerves. Diabetes can also cause heart disease, stroke and even the need to remove a limb. Pregnant women can also get diabetes, called gestational diabetes.

Blood tests can show if you have diabetes. One type of test, the A1C, can also check on how you are managing your diabetes. Exercise, weight control and sticking to your meal plan can help control your diabetes. You should also monitor your blood glucose level and take medicine if prescribed.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases

  • A1C test
  • Blood sugar test - blood
  • Choose More than 50 Ways to Prevent Type 2 Diabetes - NIH - Easy-to-Read (National Diabetes Education Program)
  • Diabetes
  • Diabetes - keeping active
  • Diabetes - low blood sugar - self-care
  • Diabetes - tests and checkups
  • Diabetes - when you are sick
  • Diabetes and exercise
  • Giving an insulin injection
  • High blood sugar

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Diabetes Complications

Also called: Diabetic complications

If you have diabetes, your blood glucose, or blood sugar, levels are too high. Over time, this can cause problems with other body functions, such as your kidneys, nerves, feet, and eyes. Having diabetes can also put you at a higher risk for heart disease and bone and joint disorders. Other long-term complications of diabetes include skin problems, digestive problems, sexual dysfunction, and problems with your teeth and gums.

Very high or very low blood sugar levels can also lead to emergencies in people with diabetes. The cause can be an underlying infection, certain medicines, or even the medicines you take to control your diabetes. If you feel nauseated, sluggish or shaky, seek emergency care.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases

  • Diabetes - preventing heart attack and stroke
  • Diabetes, Heart Disease, and Stroke - NIH (National Diabetes Education Program)
  • Diabetes: Dental Tips - NIH (National Institute of Dental and Craniofacial Research)
  • Diabetic hyperglycemic hyperosmolar syndrome
  • Diabetic ketoacidosis
  • Long term complications of diabetes

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Also called: Low blood sugar

Hypoglycemia means low blood glucose, or blood sugar. Your body needs glucose to have enough energy. After you eat, your blood absorbs glucose. If you eat more sugar than your body needs, your muscles, and liver store the extra. When your blood sugar begins to fall, a hormone tells your liver to release glucose.

In most people, this raises blood sugar. If it doesn't, you have hypoglycemia, and your blood sugar can be dangerously low. Signs include

  • Hunger
  • Shakiness
  • Dizziness
  • Confusion
  • Difficulty speaking
  • Feeling anxious or weak

In people with diabetes, hypoglycemia is often a side effect of diabetes medicines. Eating or drinking something with carbohydrates can help. If it happens often, your health care provider may need to change your treatment plan.

You can also have low blood sugar without having diabetes. Causes include certain medicines or diseases, hormone or enzyme deficiencies, and tumors. Laboratory tests can help find the cause. The kind of treatment depends on why you have low blood sugar.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases

  • Diabetes - low blood sugar - self-care
  • Drug-induced hypoglycemia
  • Insulin C-peptide
  • Low blood sugar
  • Low blood sugar - newborns

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