Steroid-Induced Hyperglycemia

Patient presents with steroid-induced hyperglycemia secondary to prescribed glucocorticoid therapy.  The patient reports symptoms consistent with hyperglycemia, including polyuria, polydipsia, and polyphagia.  Onset of these symptoms correlates temporally with the initiation of steroid treatment for [Underlying condition requiring steroid treatment - e.g., asthma exacerbation, rheumatoid arthritis flare].  Current medications include [List all current medications including dose, route, and frequency].  Past medical history significant for [Relevant past medical history, e.g., pre-diabetes, type 2 diabetes mellitus, gestational diabetes].  Family history includes [Relevant family history, e.g., diabetes, hypertension, hyperlipidemia].  Physical examination reveals [Relevant physical exam findings, e.g., dry mucous membranes].  Laboratory findings show elevated blood glucose levels [Specific blood glucose value and timing - e.g., fasting blood glucose of 140 mg/dL].  HbA1c is [HbA1c value].  Assessment: Steroid-induced hyperglycemia.  Plan:  Close monitoring of blood glucose levels.  Patient education regarding signs and symptoms of hyperglycemia and appropriate self-management strategies.  Consideration for adjustment of steroid dose if clinically feasible in consultation with the prescribing physician for the underlying condition.  Initiation of or adjustment to antihyperglycemic therapy will be considered based on blood glucose trends and patient-specific factors.  Dietary counseling recommended. Follow-up scheduled in [Timeframe - e.g., one week] to reassess blood glucose control and adjust management as needed.  ICD-10 code: E09.9 (Drug or chemical induced diabetes mellitus without complications) and corresponding ICD-10 codes for the underlying condition being treated with steroids.