Nursing diagnosis Diabetes mellitus. Diabetes mellitus is a disorder in which the level of blood glucose is persistently raised above the normal range. Diabetes mellitus is a syndrome with disordered metabolism and inappropriate hyperglycemia due to either a deficiency of insulin secretion or to a combination of insulin resistance and inadequate insulin secretion to compensate. Diabetes mellitus occurs in two primary forms: type 1, characterized by absolute insufficiency, and the more prevalent type 2, characterized by insulin resistance with varying degrees of insulin secretory defects.
Focused Nursing assessment For Diabetes Mellitus
- Patient history Patients with type 2 diabetes generally report a family history of diabetes mellitus, gestational diabetes
- Skin changes, especially on the legs and feet, may represent impaired peripheral circulation
- Ask if the patient has experienced excessive thirst (polydipsia), excessive urination (polyuria), or excessive hunger (polyphagia).
- In diagnostic test at least two occasions where the fasting plasma glucose level has been greater than or equal to 126 mg/dl, random blood glucose level greater than or equal to 200 mg/dl, blood glucose level greater than or equal to 200 mg/dl 2 hours after ingestion of 75 g of oral dextrose.
Common nursing diagnosis found in Diabetes Mellitus care plans
Imbalanced Nutrition: More than Body Requirements, Fear, Risk for Injury, Activity Intolerance, Deficient Knowledge, Risk for Impaired Skin Integrity, Ineffective Coping, Deficient knowledge (diagnosis and treatment), Disturbed sensory perception: Visual, tactile, Imbalanced nutrition: Less than body requirements, Impaired urinary elimination, Ineffective tissue perfusion: Renal, cardiopulmonary, peripheral, Risk for infection, Sexual dysfunction
Nursing diagnosis Diabetes Mellitus by nursing priority
- Imbalanced Nutrition: Less/More than Body Requirements
- Ineffective tissue perfusion: Renal, cardiopulmonary, peripheral
- Impaired urinary elimination
- Disturbed sensory perception: Visual, tactile
- Activity Intolerance
- Ineffective Coping
- Sexual dysfunction
- Deficient Knowledge
- Deficient knowledge (diagnosis and treatment)
- Risk for Impaired Skin Integrity
- Risk for Injury
- Risk for infection
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