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4 Type 1 Diabetes Mellitus Nursing Care Plans

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By Paul Martin, BSN, R.N.
FT -Type 1 Diabetes Mellitus Nursing Care Plans
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Type 1 diabetes mellitus (previously known as Insulin-dependent diabetes mellitus (IDDM) or juvenile DM) is a metabolic disorder caused by a lack of insulin. The deficiency is believed to happen in people who are genetically prone to the disease and who have experienced a precipitating event, commonly a viral infection or environmental change, that causes an autoimmune response affecting the insulin-producing cells (beta cells) of the pancreas.

It is treated by injection of insulin and regulation of diet and activity that maintain body functions. Complications that occur from improper coordination of these include hypoglycemia and hyperglycemia which, if untreated, lead to insulin shock or ketoacidosis. Long-term effects of the disease include neuropathy, nephropathy, retinopathy, atherosclerosis, and microangiopathy.

Nursing Care Plans

Nurses have an essential role and responsibilities when caring for a client with diabetes such as providing child and family with education about the management of hyperglycemia and hypoglycemia including insulin administration, dietary regimen, and exercise needs for the child, helping the family to adjust to having a chronic disease, and preventing short-term and long-term complications of diabetes.

Here are four (4) nursing care plans (NCP) and nursing diagnosis (NDx) for diabetes mellitus type 1:

  1. Deficient Knowledge
  2. Compromised Family Coping
  3. Risk for Injury
  4. Risk for Unstable Blood Glucose

2. Compromised Family Coping

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Compromised Family Coping

Nursing Diagnosis

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  • Compromised Family Coping

May be related to

  • Inadequate or inaccurate information
  • Prolonged disease or disability progression that depletes the physical and emotional supportive capacity of caretakers

Possibly evidenced by

  • Expression and/or confirmation of concern and inadequate knowledge about long-term care needs, problems and complications
  • Anxiety and guilt
  • Overprotection of child

Desired Outcomes

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  • Family will explore feelings regarding the child’s long-term needs.
  • Family will determine appropriate support systems and coping skills.
Nursing Interventions Rationale
Assess family coping mechanisms and its
effectiveness, family dynamics and expectations related to longterm care, developmental level of family, response of siblings, knowledge, and use of support systems and resources, presence of guilt and anxiety, overprotection and
overeating behaviors.		 Recognizes coping methods that work and the need to develop new coping skills and behaviors, family attitudes; child with special long-term needs may tighten or strain family relationships, and that over-protection may be deleterious to child’s growth and development.
Allow family members and child to express difficult areas, anxiety and explore solutions responsibly. Lessens anxiety and improves understanding; provides the family with an opportunity to recognize problems and generate problem-solving methods.
Assist family to establish short- and
long-term goals for the child and to
involve the child in the activities of the family; include the participation of
all family members in care routines.		 Promotes engagement in and control over situations and keeps the role of family members and parents.
Encourage family members to verbalize feelings, to tell how they handle the chronic needs of the family member, and to define coping patterns that support or inhibit adjustment to the problems. Encourages expression of feelings to identify the need for information and support and to dismiss guilt and anxiety.
Provide support social worker,
counselor, clergy, or other as needed.		 Provides assistance to the family dealing with the long-term care of a child with chronic illness.
Teach family about long-term care and treatments. Improves family’s understanding of treatment regimen and responsibilities of family.
Teach family that overprotective behavior may inhibit growth and development so they should treat the child as normally as possible. Facilitates understanding of the significance of making the child a part of the family and illustrates the unfavorable effects of being overprotective.
Explain the importance of attending follow-up appointments for physical examinations, laboratory tests. Promotes positive outcome when family collaborates with the physician and health team to monitor disease.
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2. Compromised Family Coping

See Also

You may also like the following posts and care plans:

Endocrine and Metabolic Care Plans

Nursing care plans related to the endocrine system and metabolism:

Pediatric Nursing Care Plans

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Nursing care plans for pediatric conditions and diseases: 

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Paul Martin, BSN, R.N.
Paul Martin is a registered nurse with a bachelor of science in nursing since 2007. Having worked as a medical-surgical nurse for five years, he handled different kinds of patients and learned how to provide individualized care to them. Now, his experiences working in the hospital is carried over to his writings to help aspiring students achieve their goals. He is currently working as a nursing instructor and have a particular interest in nursing management, emergency care, critical care, infection control, and public health. As a writer at Nurseslabs, his goal is to impart his clinical knowledge and skills to students and nurses helping them become the best version of themselves and ultimately make an impact in uplifting the nursing profession.

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