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Nursing Care Plan For Type 2 Diabetes

Nursing Care Plan For Diabetes 11

Nursing Care Plan for Diabetes Mellitus (Nurse Care Plans)

Ineffective Coping

Nursing Diagnosis: Ineffective Coping related to poor ability in understanding the disease process, inadequate social support, inadequate perception of control and insufficient resources secondary to diabetes mellitus as evidenced by negative self-image, grief, a lack of problem-solving abilities, and fatigue.

Desired Outcomes:

  • The patient will be able to declare the ability to cope and when necessary, seeks assistance.
  • The patient will show problem-solving abilities and engage in society at a normal level.
  • The patient will be free of self-destructive actions and the patient will be able to address needs, communicate them and negotiate with others.

Type 2 Diabetes Care Plan: Goals And What To Expect

Any chronic condition would require a carefully devised care plan that would help in the long-term management of symptoms. The care plan for type 2 diabetes works in the same way. Since diabetes is a lifelong condition, it becomes supremely important for the people living with it and their caregivers to be aware of the ins and outs of the condition so that they can manage the symptoms in the best possible manner. A diabetes care plan is often customized to meet the needs of a person as everyone has different symptoms, different thresholds for highs and lows, and varying parameters.

The goals, however, of the treatment plan would more or less be centered around the same broad concept optimal management of the blood sugar levels.

Focus 8 Skin Management

On any persons skin being challenged, if body damages, it can be witnessed quite easily as diabetes progresses their cause as well.

Diabetes causes skin problems to get bad at times but can also be prevented with just a little attention. Diabetes in the past few years has commonly struck to adults, youngsters including teenagers and children. There is much medication to treat through insulin injections, non-insulin injectable, and oral drugs.

Here are the causes of fragile and vulnerable skin in diabetes.

Cause to poor skin

Symptoms of a fragile and vulnerable skin are below.

Symptoms of damaged skin

Most diabetic patients encounter complex skin conditions and disease resulting in skin wounds and ulcers.

Tip: Did you know that Hyperbaric Oxygenis proven to heal slow-healing diabetes wounds and ulcers.

Over time, your skin vulnerability can be worse in the following form.

  • Wounds or cut forming on your skin
  • Getting a lot of time to be healed
  • Severe Irritation to the skin
  • Remarkable forming change on the skin

There is a major challenge when you have skin vulnerability and unhealthy skin. That is what you will be prone to skin infections. Commonly, those infections are caused due to bacteria or fungus.

Bacterial infections

Recurrent bacterial infections are some of the serious complications that can be encountered in Type 2 Diabetes disease. These conditions cause a

redness, and


Common types of bacterial skin infections are below.

Fungal infections


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What Is A Nursing Care Plan For Type 2 Diabetes

This is a plan, guide, and a checklist to help you provide proper care for an individual or family with type 2 diabetes. This nursing plan is explicitly allotted to diabetic patients.

The nursing plan merely focuses on methods proven to work with proper comprehensive treatment tactics offered to patients at hospitals and nursing home facilities, which can be used at individual and family levels.

The care plan involves diagnosis, monitoring, and planning the management that detains on effective recovery from type 2 diabetes through regular sugar monitoring, diets, exercises, and timely medications .

Risk For Unstable Blood Glucose Level

Pin on Stop Diabiates

Related to

  • Recognize factors leading to glucose instability and DKA.
  • Verbalize understanding of body and energy needs.
  • Verbalize plan to modify factors to prevent or minimize complications.

Nursing intervention

Monitor blood glucose before meals and at bedtime.


This monitors the effectiveness of blood glucose control at times when the patients glucose is not increased by digestion of food.

Nursing intervention

Assess for changes in mentality, apprehension, erratic behavior, tremors, slurred speech, staggering gait, and seizure activity. Treat hypoglycemia as prescribed.


These are signs of hypoglycemia. Patients with hypoglycemia may experience vasodilation and decreased myocardial contractility, which decreases cerebral circulation and impairs cognition.

Nursing intervention

Administer basal, prandial, and correction insulin doses as prescribed.


Encourage and teach the patient to perform regular home blood glucose monitoring.


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Nursing Care Plan For Diabetes 10

Risk for Ineffective Therapeutic Regimen Management

Nursing Diagnosis: Risk for Ineffective Therapeutic Regimen Management related to new-onset illness, treatment management that is not well understood, and a difficult medical management secondary to diabetes mellitus.

Desired Outcome: The patient will demonstrate awareness of diabetic self-care techniques,

will express verbally the comprehension of the diabetes disease process and its possible complications, and the patient will be able to perform all necessary procedures accurately and give discuss reasons for the actions.

Nursing Care Plan For Diabetes Mellitus

The most important aspect of a Nursing Care Plan for Diabetes is its consistency. The plan must be written in a consistent format and should address the needs of the patient. The nursing staff must be well-informed about diabetes to provide quality care. The plan should outline a patients goals, identify any risks, and ensure that the patient receives a balanced diet. Patients with diabetes should be encouraged to engage in exercise so that their weight is maintained. The plan should also include assessments for skin problems, slow-healing wounds, and foot pain.

The nursing care plan should address the need to monitor blood glucose levels in the patient. This is an essential component of the plan because elevated blood sugar levels are associated with a greater risk of mortality. It is also crucial to encourage self-monitoring of blood glucose, daily foot checks, and regular eye exams. To further prevent complications, nurses should encourage patients to quit smoking. It is also important to seek patient consent to administer certain medicines.

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How To Use This Nursing Plan For Diabetic Patients

A treatment program is formed that seeks recovery and emphasis on changes and interventions that can be implemented promptly to the patient.

It involves a process of changes that are needed in making diabetes-related conditions quite better for the patients. The person who provides nursing care should keep track of all the caring planning processes in the patients care.

I encourage people who provide self-care for their diabetes to use this Nursing Care Plan as well.

The Fundamentals Of Nursing Care Plan For Type 2 Diabetes The Checklist

Diabetes Nursing Care Plan Tutorial

This Nursing Care Plan is based on 10 key focus areas when managing type 2 diabetes from home.

They are:

Focus 1 Important Past Health Information

Focus 2 Your Lifestyle

Focus 3 Results of the Objective Examinations and Test Results

Focus 4 Diabetes Monitoring

Focus 6 Your Endurance

Focus 7 Symptoms and Complications Management

Focus 8 Skin Management

Focus 9 Healthy Immunity for Infection Control

Focus 10 Positive Health Beliefs and Psychology

Lets explore each focus area of the Care Plan to understand them better, especially the key actions under each.

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Diabetes Type 2 Nursing Care Plan 5

Risk for Fluid Volume Deficit

Nursing Diagnosis: Risk for Fluid Volume Deficit related to polyuria and uncontrolled gastric losses secondary to Type 2 diabetes mellitus.

Desired Outcome: The patient will demonstrate stable vital signs, perceptible peripheral pulses, good skin turgidity and vascularity, satisfactory urine output, and electrolytes within normal ranges.

Effectiveness Of Standardized Nursing Care Plans In Health Outcomes In Patients With Type 2 Diabetes Mellitus: A Two

  • * E-mail:

    Affiliation Unidad de Apoyo Técnico, Gerencia Adjunta de Planificación y Calidad, Servicio Madrileño de Salud, Madrid, España

  • Affiliation Fundación Investigación Biomédica, Hospital Carlos III, Madrid, España

  • Affiliation Fundación Investigación Biomédica, Hospital Carlos III, Madrid, España

  • Affiliation Unidad de Epidemiología Clínica, Hospital Carlos III, Madrid, España

  • Affiliation Dirección Técnica de Formación e Investigación, Gerencia Adjunta de Planificación y Calidad, Servicio Madrileño de Salud, Madrid, España

  • Affiliation Dirección de enfermería, Dirección Asistencial Norte, Gerencia Adjunta Asistencial, Servicio Madrileño de Salud, Madrid, España

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Risk For Thermal Injury

Peripheral neuropathy also affects a patients ability to feel high temperatures, and they are more likely to scald or burn themselves without realizing it. These burns may be slow to heal and are more likely to get infected, due to the stunting of the immune system from reduced neutrophil functioning.

Nursing Care Plan For Diabetes 4

Type 2 Diabetes Care Plan Sample

Nursing Diagnosis: Fatigue related to decreased metabolic energy production as evidenced by overwhelming lack of energy, verbalization of tiredness, generalized weakness, blood sugar level of 210 mg/dL, and shortness of breath upon exertion

Desired Outcome: The patient will demonstration active participation in necessary and desired activities and demonstrate increase in activity levels.

Nursing Interventions for Diabetes Rationales
Assess the patients activities of daily living, as well as actual and perceived limitations to physical activity. Ask for any form of exercise that he/she used to do or wants to try. To create a baseline of activity levels and mental status related to fatigue and activity intolerance.
Encourage progressive activity through self-care and exercise as tolerated. Explain the need to reduce sedentary activities such as watching television and using social media in long periods. Alternate periods of physical activity with rest and sleep. To gradually increase the patients tolerance to physical activity.
Teach deep breathing exercises and relaxation techniques. Provide adequate ventilation in the room. To allow the patient to relax while at rest. To allow enough oxygenation in the room.
Refer the patient to physiotherapy / occupational therapy team as required. To provide a more specialized care for the patient in terms of helping him/her build confidence in increasing daily physical activity.

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What Is The Nursing Care Plan For Diabetes

As you probably know, diabetes is one of the most common diseases. Maybe a part of the patients you saw today are diabetic.

According to the research studies more than 34 million US residents are diabetic.

This data shows that diabetes is very much prevalent and because of this reason, nurses need to have the proper knowledge about the disease and the skills to take care of their patients.

And at this point, a well-framed nursing care plan for diabetes comes into play.

So, before moving to the nursing care plans, first discuss diabetes and its types.

What is diabetes?

Diabetes or diabetes mellitus is a health problem where the levels of blood glucose are high. The most common symptoms of diabetes include:

Generally, there are three types of diabetes and the treatment and nursing care plan for diabetes depends upon these types.


Type 1 diabetes is also known as juvenile-onset and insulin-dependent diabetes. This type is very common in children.

In general, it is an autoimmune problem in which the body starts attacking the pancreas which in turn impacts insulin production.


Type 2 diabetes is more prevalent than type 1.

In this health condition, the pancreas can not produce enough insulin required by the body.

In simple words, the body becomes resistant to insulin.

This type of diabetes can be easily controlled by making some changes in the lifestyle and regular intake of oral hypoglycemic agents.


Risk For Impaired Skin Integrity

If your patient has developed peripheral neuropathy because of their diabetes, the risk for a wound or ulcer developing is significantly increased. Often patients with neuropathy have a lowered sensation of pain, and so they may not realize if they have received an injury to their feet or if a pressure ulcer is developing.

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Diabetes Type 2 Nursing Care Plan 1

Risk for Unstable Blood Glucose Level

Nursing Diagnosis: Risk for Unstable Blood Glucose Level related to insufficient blood glucose monitoring and lack of compliance to diabetes management and medications secondary to Type 2 diabetes mellitus as evidenced by increased thirstiness and persistent urination.

Desired Outcome: The patient will strive to attain an acceptable glucose range and recognize critical variables contributing to varying glucose levels.

Nurse Diabetes Case Management Interventions And Blood Glucose Control: Results Of A Meta


Nurse diabetes case management interventions and blood glucose control: Results of a meta-analysis Author links open overlay panel GarryWelcha Get rights and content We conducted a meta-analysis of studies reporting diabetes case management interventions to examine the impact of case management on blood glucose control . Databases used for the search included Medline, PubMed, Cochrane EPOC, Cumulative Index to Nursing & Allied Health Literature database guide , and PsychInfo. A composite estimate of effect size was calculated using a random effects model and subgroup analyses were conducted. Twenty-nine salient studies involving 9397 patients had sufficient data for analysis. Mean patient age was 63.2 years, 49% were male, and ethnicity/race was 54% White. Type 2 diabetes was the focus in 91% of studies. Results showed a large overall effect size favoring case management intervention over controls or baseline values on HbA1c . This corresponds to a mean HbA1c reduction of 0.89 . Subgroup analyses showed clinical setting, team composition, and baseline HbA1c were important predictors of effect size, but not diabetes self-management education which was poorly described or absent in most diabetes case management interventions examined. Nurse-led case management provides an effective clinical strategy for poorly controlled diabetes based on a meta-analysis of clinical trials focusing on blood glucose control.Continue reading > >

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Nursing Assessment And Rationale

In this sector, the following points should be kept in mind:

  • Check for signs of hyperglycemia Signs of high blood sugar that can occur due to more glucose levels in the blood as compared to insulin can create certain symptoms like thirst, hunger, increased urination, headaches, etc.
  • Regular checking of blood sugars Usually, the criteria for checking blood sugars are pre and post-meals, and 3 am. At any point in the day, the readings should be between 100-160mg/dL. Pre meals sugar levels should be less than 140mg/dL
  • HbA1c The glycosylated hemoglobin needs to be assessed every 3 months to understand the average blood sugar readings and if the levels are under control. Around 6.5 to 7% is the desirable level of HbA1c
  • Weight Body weight plays an important role in not only maintaining sugar levels but also ensuring that insulin sensitivity is improved
  • Signs of hypoglycemia Any signs of anxiety, shaking, numbness, dizziness, blurred vision, etc need to be identified immediately and treated with 15 grams of sugar or as directed by the doctor.
  • Regular checking of feet A person with diabetes will often notice certain feet-related issues that can turn ugly really quickly. Ensure that the feet temperature, pulse, color, sensation, etc are intact
  • Assess the bowels Any abnormalities regarding abdominal issues like pain, bloating, nausea, vomiting, gases, etc may affect overall health and the course of treatment
  • What Is A Care Plan

    Care plans are exactly what they sound like plans made to take care of different aspects/ medical conditions/ lifestyle etc in a persons life. These are usually made when there is a significant and drastic change in ones life. A diabetes mellitus care plan is a tool made in tandem with the person diagnosed with the condition and their team of doctors to help in smoothing the everyday management of T2D and its symptoms.

    Particularly for this condition, a care plan becomes vital as it is challenging and affects the person even in the long term. Even if you are aware of what diabetes entails, you may not be fully aware of all the nuanced aspects associated with this condition. There are several major and minor changes that you will have to make in your daily life and even at the macro level. At least, in the beginning, you might require some help to make those care plans for yourself.

    Knowing or having an outline of what you need to be doing can help make things seem more under control. Similarly, having a plan to deal with the unexpected aspects of the condition can also make dealing with it less overwhelming.

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    What Is The Aim Of A Type 2 Diabetes Care Plan

    The nursing care plan for diabetes mellitus can allow people to recognize and manage their symptoms better. It becomes an important tool and a guide for self to be able to navigate through situations that may seem tough. In certain difficult times that the condition throws at you, you may often feel unprepared, a care plan and things being charted out will reduce the feelings of loss of control and uncertainty regarding what needs to be done. Sharing the plan with other members in the house, colleagues, close friends, etc would be an added advantage as they could also act as a support system in your time of need.

    The primary aim would be to empower the person to be able to manage their symptoms. This shall, in turn, lead to the achievement of another goal which would be a long-term improvement in health and well-being.

    This plan is devised by taking into account several personal factors of the person:

    • Their age and gender
    • Mental Health professionals, etc

    Along with this, also make sure that you schedule regular heart, kidney, eye, and foot check-ups as diabetes is known to play a major role in affecting the optimal functioning of these organs.

    What Is A Nursing Care Plan

    Diabetes Care Plan Template

    Nursing care plans allow nurses, patients and other medical professionals to stay on the same page with coordinated care, goals and outcomes. While plans will vary among providers and organizations, most include the core components of patient diagnoses, desired outcomes, nursing orders and subsequent evaluation.

    In home health care specifically, the agency care team and the physician establish a set plan of care that includes and outlines:

    • The types of services you need, which may include skilled nursing, physical therapy, occupational therapy, social work, home health aides and more
    • How often you need these services
    • Any home medical equipment you may need
    • Any specific dietary requirements
    • Your doctors goal for the treatment

    Read Also: What Can Gestational Diabetes Cause

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