Nursing Diagnosis Nursing interventions

Risk for Unstable Blood Glucose Assessment:

1. Assess laboratory values.

Related to: Blood glucose levels are monitored through
laboratory tests like HbA1C and fingerstick glucose
 Diabetes mellitus tests. Alterations in these laboratory values can
 Medication side effects indicate an underlying condition like diabetes.
 Infections Urinalysis can check for high ketone levels which
 Pancreatic diseases indicates ketoacidosis and requires immediate
 Ineffective health management behaviors medical attention.
 Ineffective medication management
 Ineffective weight management 2. Assess the patient’s understanding of
 Inadequate glucose monitoring glucose.
 Dietary intake Ensure the patient understands their disease
 Pregnancy process and how glucose is affected by insulin.
 Stress
Interventions:

1. Administer medications as indicated.

Insulin and other antidiabetic agents may be
administered to help lower blood glucose levels.

2. Instruct on the use of glucometers or other

equipment.
To properly assess and manage hyperglycemia,
the patient must understand how to check their
glucose levels. Observe them using their
glucometer for accuracy. Some patients may
benefit from a Dexcom which is a wearable
continuous glucose monitoring device.

3. Monitor for any signs of hypoglycemia.

Blood glucose levels can fluctuate
and hypoglycemia may occur if hyperglycemia is
overcorrected. Signs and symptoms of
hypoglycemia include dizziness, shakiness,
sweating, headache, pallor, confusion, seizures,
and mental status changes.

4. Encourage the patient to maintain a blood

glucose log.
A blood glucose log can help track the patient’s
responses to the treatment regimen and determine
if those treatments are effective or need alteration.

5. Encourage lifestyle modifications.

Lifestyle modifications including healthy eating
habits and exercise can maintain normal glucose
levels and prevent hyperglycemia.

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