Here are nursing diagnoses commonly associated with Diabetes Mellitus (DM) — both Type 1 and Type 2. These are based on NANDA (North American Nursing Diagnosis Association) guidelines and adapted for clinical use:
1. Ineffective Health Management
Related to: insufficient knowledge about disease process, diet, medication, and self-care
As evidenced by: elevated blood glucose levels, verbalized difficulty in managing diabetes, missed medications
2. Risk for Unstable Blood Glucose Level
Related to: inconsistent dietary intake, improper insulin use, infection, stress
3. Risk for Infection
Related to: hyperglycemia, impaired immune response, delayed wound healing
4. Deficient Knowledge
Related to: new diagnosis, lack of exposure to diabetes education
As evidenced by: questions about medication, diet, blood sugar monitoring
5. Risk for Impaired Skin Integrity
Related to: neuropathy, poor circulation, impaired wound healing
6. Fatigue
Related to: altered metabolic state, insufficient glucose utilization
As evidenced by: patient reports of low energy, weakness
7. Imbalanced Nutrition: More than Body Requirements (for Type 2 DM)
Related to: excessive intake of calories, lack of physical activity
As evidenced by: BMI > 25, elevated blood glucose
8. Disturbed Sensory Perception (Tactile)
Related to: diabetic neuropathy
As evidenced by: numbness, tingling in extremities
9. Risk for Delayed Surgical Recovery
Related to: poor glycemic control, impaired circulation