13+ Diabetes Mellitus Nursing Care Plans

What are the nursing care plans and nursing diagnosis for diabetes mellitus (DM)?

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In this nursing care plan guide are 13 nursing diagnosis for Diabetes Mellitus. Learn about the nursing interventions, goals, and nursing assessment for Diabetes Mellitus.

What is Diabetes Mellitus? 

Diabetes mellitus (DM) is a chronic disease characterized by insufficient production of insulin in the pancreas or when the body cannot efficiently use the insulin it produces. This leads to an increased concentration of glucose in the bloodstream (hyperglycemia). It is characterized by disturbances in carbohydrate, protein, and fat metabolism. Sustained hyperglycemia has been shown to affect almost all tissues in the body and is associated with significant complications of multiple organ systems, including the eyes, nerves, kidneys, and blood vessels.

Diabetes mellitus has a few types: 

  • Type 1 diabetes is characterized by destruction of the pancreatic beta cells.
  • Types 2 diabetes involves insulin resistance and impaired insulin secretion.
  • Gestational diabetes mellitus is when a pregnant woman experiences any degree of glucose intolerance with the onset of pregnancy.

Nursing Care Plans for Diabetes Mellitus

Nursing care planning goals for patients with diabetes include effective treatment to normalize blood glucose and decrease complications using insulin replacement, balanced diet, and exercise. The nurse should stress the importance of complying with the prescribed treatment program. Tailor your teaching to the patient’s needs, abilities, and developmental stage. Stress the effect of blood glucose control on long-term health.

Here are 13 nursing care plans (NCP) and nursing diagnoses for diabetes mellitus (DM):

  1. Risk for Unstable Blood Glucose
  2. Deficient Knowledge
  3. Risk for Infection
  4. Risk for Disturbed Sensory Perception
  5. Powerlessness
  6. Risk for Ineffective Therapeutic Regimen Management
  7. Risk for Injury
  8. Imbalanced Nutrition: Less Than Body Requirements
  9. Risk for Deficient Fluid Volume
  10. Fatigue
  11. Risk for Impaired Skin Integrity
  12. Other Possible Nursing Care Plans
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Risk for Ineffective Therapeutic Regimen Management

Nursing Diagnosis

Risk factors

  • New-onset diabetes
  • Lack of knowledge about diabetes and its management
  • Complex medical regimen

Desired Outcomes

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  • Patient demonstrates knowledge of diabetes self-care measures.
Nursing Interventions Rationale
Investigate the patient’s prior efforts to manage the diabetes care regimen. Can provide an important starting point in understanding any complexities or difficulties the patient-perceived in his diabetes management regimen. The patient may report experiences of being overwhelmed by attempts to manage medications, diet, exercise, blood glucose monitoring, and other measures to prevent complications.
Evaluate the patient’s self-management skills, including the ability to perform procedures for blood glucose monitoring. Self-management skills determine the amount and type of education that needs to be provided.
Assess for factors that may negatively affect success with following the regimen. Limited vision may impair the patient’s ability to prepare and administer insulin accurately. Limited mobility and the loss of fine motor control can interfere with the skills needed for insulin administration and blood glucose monitoring.
Assess the patient’s financial resources for health care. The cost of medication and supplies for blood glucose monitoring may become barriers to the patient with limited financial resources.
Determine and ensure that patient’s knowledge about the symptoms, causes, treatment, and prevention of hyperglycemia. Elevated blood glucose levels in patients with previously diagnosed diabetes indicate the need to evaluate diabetes management.
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References and Sources

References and recommended sources for this care plan guide for Diabetes Mellitus:

  • Ackley, B. J. (2008). Evidence-based nursing care guidelines: Medical-surgical interventions. Elsevier Health Sciences.
  • Black, J. M., & Hawks, J. H. (2009). Medical-surgical nursing: Clinical management for positive outcomes (Vol. 1). A. M. Keene (Ed.). Saunders Elsevier. [Link]
  • Brunner, L. S., & Suddarth, D. S. (2004). Medical surgical nursing (Vol. 2123). Philadelphia: Lippincott Williams & Wilkins. [Link]
  • Doenges, M. E., Moorhouse, M. F., & Murr, A. C. (2016). Nurse’s pocket guide: Diagnoses, prioritized interventions, and rationales. FA Davis. [Link]
  • Gulanick, M., & Myers, J. L. (2016). Nursing Care Plans: Diagnoses, Interventions, and Outcomes. Elsevier Health Sciences. [Link]
  • Rosenberg, C. S. (1990). Wound healing in the patient with diabetes mellitus. The Nursing clinics of North America25(1), 247-261. [Link]
  • White, P. (1974). Diabetes mellitus in pregnancy. Clinics in perinatology1(2), 331-348.

See Also

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1 COMMENT

  1. I’m a registered diploma(Level 300) student nurse in Ghana and is my ambition to equipped myself with your simple standard education. Please I want both medical and surgical nursing question.

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