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Understanding the Distinction There are two separate clinical scenarios that coders often confuse: Scenario A: Steroid-induced hyperglycemia (not yet diabetes) The patient has elevated blood sugar in response to steroids, but the physician has not documented a formal diabetes diagnosis

The clinical need must be considered in addition to any potential adverse outcomes for the infant

Cyanocobalamin can lead to optic nerve damage (and possibly blindness) in people with Leber's disease