Question

Nursing care plan for a female Patient who have type 2 diabetes Miletus without complications?

Blood sugar 279 and received 4units of insulin.

Answer 1

Nursing care plan for Diabetes

Nursing Assessment Includes

• Obtain the family history of DM
• Check for the signs and symptoms the patient experiences like polydipsia, polyphagia, polyuria etc
• Check the FBS level of the patient.
• Perform the physical examination to assess for the signs and complications of DM.

Common nursing diagnoses for DM are:

1. Imbalanced nutrition more than body requirement related to excess intake
2. Risk for hypoglycemia related to effects of insulin and inability to eat.
3. Activity intolerance related to poor glucose control.
4. Deficient knowledge related to use of insulin
5. Ineffective coping related to the complexity of the disease.

Sl. No	Nursing diagnoses	Outcome	intervention	evaluation
2. 3. 4	Imbalanced nutrition more than body requirement related to excess intake Risk for hypoglycemia related to effects of insulin and inability to eat. Activity intolerance related to poor glucose control. Deficient knowledge related to use of insulin	Patient maintains a balance between the intake and activity Patient remains free from hypoglycemia Patient improves the activity level Achieves adequate knowledge related to the use of insulin therapy	Assess the food intake Advice to reduce the intake of carbohydrates Discuss and set a goal for 10% weight reduction in every month Encourage patient to do exercise as a weight reduction strategy. Plan the daily menu with less carbohydrates Monitor blood glucose level to check for hypoglycemia Explain the importance of insulin therapy and meal timings to prevent hypoglycemia Assess for signs and symptoms of hypoglycemia If any symptoms develop, 15 to 20 gm of fast acting carbohydrates can be administered. Snacks between meals and food intake before exercise should be encouraged. Assess the blood glucose level before and after exercise Encourage to plan exercise on regular basis. Encourage snacks before exercising Instruct to inject insulin in abdominal site if the patient is exercising. Instruct patient to avoid exercise if the urine ketones are present. Assess the level of knowledge and self care ability. Encourage to adhere to the diet, medication, monitoring and exercise. Teach the signs of hyperglycemia Teach the signs of hypoglycemia Teach the sites and method of insulin administration Teach about the complications of insulin therapy.	Maintains ideal body weight / Maintains a balance between intake and activity. Identified early the sins of hypoglycemia Patient achieved improvement in the activity pattern. Improved the knowledge regarding the use of insulin.