Euglycemic DKA

kathleen.davis@ensemblehp.comkathleen.davis@ensemblehp.com
in Clinical & Coding

Recommendations for coding euglycemic DKA? If patient is diabetic, is this a DKA code - and which one are you using? Are you including adverse effect of drug if applicable? If the patient is not diabetic, on meds for weight loss, and experience "euglycemic DKA" - is this DKA if patient is not a diabetic?

Comments

  • deanne.wilk@hcpro.comdeanne.wilk@hcpro.com

    Hi Kathleen, doing a quick search on this, as I was not familiar either. I would code as DKA if there is not a specific code for it. I would also query for the etiology if known and then this would potentially lead to other coding, such as you mention an adverse effect of say the SGLT2 meds. Hope that helps.

    • EDKA involves the presence of DKA (metabolic acidosis and ketosis) without the typical high blood sugar levels (hyperglycemia). 
    • Causes of EDKA:
    • SGLT2 inhibitors: These medications, used to lower blood sugar, can increase the risk of EDKA, as they cause glucose to be excreted in the urine, leading to a carbohydrate deficit. 
    • Pregnancy: Hormonal changes during pregnancy can contribute to insulin resistance and, in some cases, EDKA. 
    • Starvation or fasting: Reduced carbohydrate intake can lead to the body breaking down fat for energy, resulting in ketone production and acidosis. 
    • Other factors: Alcohol use, insulin pump failure, and certain medical conditions can also contribute to EDKA


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