Nursing Diagnosis related to Diabetes Mellitus (Type 1 and Type 2)

Last updated: Thursday, February 28, 2013 - Save & Share - Leave a Comment

Diabetes mellitus is a condition in which the pancreas no longer produces enough insulin or cells stop responding to the insulin that is produced, so that glucose in the blood cannot be absorbed into the cells of the body.

The two types of diabetes are referred to as type 1 and type 2. Former names for these conditions were insulin-dependent and non-insulin-dependent diabetes, or juvenile onset and adult onset diabetes.

Type 1 Diabetes Mellitus

Type 2 diabetes Mellitus

Symptoms of diabetes can develop suddenly (over days or weeks) in previously healthy children or adolescents, or can develop gradually (over several years) in overweight adults over the age of 40. The classic symptoms include feeling tired and sick, frequent urination, excessive thirst, excessive hunger, and weight loss.

Ketoacidosis, a condition due to starvation or uncontrolled diabetes, is common in Type I diabetes. Ketones are acid compounds that form in the blood when the body breaks down fats and proteins. Symptoms include abdominal pain, vomiting, rapid breathing, extreme lethargy, and drowsiness. Patients with ketoacidosis will also have a sweet breath odor. Left untreated, this condition can lead to coma and death.

With Type II diabetes, the condition may not become evident until the patient presents for medical treatment for some other condition. A patient may have heart disease, chronic infections of the gums and urinary tract, blurred vision, numbness in the feet and legs, or slow-healing wounds. Women may experience genital itching.


Nursing Diagnosis related to Diabetes Mellitus

1. Risk for Infection

related to:
high glucose levels
reduction in leukocyte function.

2. Imbalanced Nutrition, Less Than Body Requirements

related to
poor nutrition intake.

3. Fluid Volume Deficit

related to:
osmotic diuresis (hyperglycemia).

4. Activity Intolerance

related to:
physical weakness.

5. Knowledge Deficit: about the disease process

related tyo: lack of information.

6. Risk for Impaired Skin Integrity

related to:

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