Drug or chemical induced diabetes mellitus with diabetic macular edema, resolved following treatment digital illustration

Drug or chemical induced diabetes mellitus with diabetic macular edema, resolved following treatment Save


ICD-10 code: E09.37

Chapter: Endocrine, nutritional and metabolic diseases

Drug or Chemical-Induced Diabetes Mellitus with Diabetic Macular Edema, Resolved Following Treatment

Diabetes mellitus is a chronic metabolic disorder characterized by elevated blood glucose levels. It can be caused by a variety of factors, including genetic predisposition, lifestyle factors, and drug or chemical-induced factors.

One of the complications of diabetes mellitus is diabetic macular edema (DME), which is swelling in the retina that can cause vision loss. DME can occur in both type 1 and type 2 diabetes mellitus and is a leading cause of vision loss in working-age adults.

Drug or chemical-induced diabetes mellitus is a relatively rare cause of diabetes mellitus. It can occur due to exposure to certain medications or chemicals that damage the pancreas or impair insulin production or function. Some examples of medications that can cause drug-induced diabetes mellitus include corticosteroids, antipsychotics, and some anti-cancer drugs.

When drug-induced diabetes mellitus occurs in combination with DME, treatment can be challenging. However, early diagnosis and prompt treatment can significantly improve outcomes. Treatment options for DME include laser photocoagulation, intravitreal injections of anti-vascular endothelial growth factor (VEGF) drugs, and corticosteroid injections.

  1. Laser photocoagulation: This treatment involves using a laser to seal leaking blood vessels in the retina. It can reduce swelling and slow the progression of vision loss.
  2. Intravitreal injections of anti-VEGF drugs: These drugs can reduce swelling in the retina and improve vision. They are injected directly into the eye and may require multiple injections over time.
  3. Corticosteroid injections: These injections can reduce inflammation and swelling in the retina. They are typically used when other treatments have failed.

With proper treatment, drug or chemical-induced diabetes mellitus with DME can be managed effectively. In some cases, vision can be restored to pre-DME levels. However, it is important to manage blood glucose levels and avoid exposure to medications or chemicals that can cause diabetes mellitus.

In conclusion, drug or chemical-induced diabetes mellitus with DME is a complex condition that requires prompt diagnosis and appropriate treatment. With the help of experienced healthcare providers and access to the latest treatments, patients can achieve optimal outcomes and avoid vision loss.