ASSESSMENT
Subjective: No
“Normal tlaga saakin ang
matas ang sugar” verbalized
by Pt.
Objective:
BGM – pre-meal 198 mg/dL
Post-meal 249 mg/dL
BP 130/100
Peripheral edema
DIAGNOSIS
Risk for unstable blood
glucose level r/t deficient
knowledge of diabetes
management
Inference:
(Hyperglycemia or elevated
blood glucose levels may
occur in a variety of clinical
situations. Diabetes mellitus
is the most common disorder
associated with elevated
blood glucose levels. Certain
drugs have hyperglycemia as
a side effect.)
PLANNING
Short term:
After 1 hour of NI, patient
will acknowledge factors that
may lead to unstable glucose
level
Long term:
After 1 day of NI, patient will
be able to maintain glucose
in satisfactory range.
INTERVENTION
-Established rapport
-Assessed signs of
Hyperglycemia
-Assessed the medication
taken regularly
-Assessed blood glucose level
pre and post meal
-Assessed patient eating
pattern
-Assessed patient’s
knowledge and
understanding on prescribed
diet.
-Discussed importance of
balance exercise with food
intake
RATIONALE EVALUATION
-To gain the cooperation of Short term:
the patient and trust. After 1 hour of NI, patient
acknowledged factors that
-Polydipsia (thirst), affects unstable glucose
Polyphagia (hunger) polyuria level.
(urination)
-Some drug cause
dysfunction of blood glucose
like; corticosteroids, beta
blockers, thiazinide
diuretics… cause Long term:
hypoglycemia. After 1 day of NI, patient was
able to maintain glucose level
-Patient BGM should be <140 in satisfactory range
mg/dL
-Adherence to dietary
guidelines may result to
fluctuation of BGL
-diet plan help controlling
BGL
-Patient need to understand
the relationship of exercise,
food uptake and blood
glucose level.