Nursing Care Plan for Type 2 Diabetes Mellitus

Patient Profile: 58-year-old male, newly diagnosed with Type 2 Diabetes Mellitus (HbA1c: 8.2%), BMI 31, sedentary lifestyle, family history of diabetes. Presents with classic symptoms of polyuria, polydipsia, and unexplained weight loss.

Assessment

Subjective Data:
- Reports increased thirst and frequent urination for 3 months
- Unintentional weight loss of 15 lbs over 2 months
- Expresses anxiety about diagnosis: "I'm scared I'll need insulin shots"
- Limited knowledge about diabetes management
- Reports sedentary work environment and minimal physical activity

Objective Data:
- Vital Signs: BP 142/88, HR 82, RR 16, Temp 98.6°F
- Fasting blood glucose: 186 mg/dL (normal: <100 mg/dL)
- HbA1c: 8.2% (target: <7%)
- BMI: 31 (obese category)
- Acanthosis nigricans noted on neck
- Peripheral pulses present but diminished in lower extremities
- Monofilament test shows intact sensation in feet

Nursing Diagnoses

1. Deficient Knowledge related to new diabetes diagnosis as evidenced by patient's statements about limited understanding of disease management and expressed anxiety.

2. Risk for Unstable Blood Glucose Level related to insufficient knowledge of diabetes management and sedentary lifestyle.

3. Imbalanced Nutrition: More Than Body Requirements related to excessive intake in relation to metabolic needs as evidenced by BMI of 31...