Use this nursing diagnosis guide to help you create a Risk for Unstable Blood Glucose Level nursing care plan. There are different kinds of sugars. “Glucose” is what our body utilizes most. Other sugars we eat, like fructose from fruit or lactose from milk, are converted into glucose in our bodies and use them for energy. Our bodies also break down starches, which are sugars stuck together, into glucose. Serum glucose is transported from the intestines or liver to body cells via the bloodstream and is made available for cell absorption via the hormone insulin, produced by the body primarily in the pancreas. Insulin is secreted by the beta cells of the islets of Langerhans in the pancreas in response to elevated level of blood glucose. This pancreatic hormone facilitates the movement of glucose across the cell membranes to be used for metabolic activity. The alpha cells of the islets of Langerhans secrete glucagon when blood glucose levels are low. 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. Hypoglycemia, otherwise, occurs most often as the result of excess insulin administration in the person with diabetes mellitus. It may also occur to a person who has excessive alcohol intake, prolonged fasting and starvation states, adrenal insufficiency, and eating disorders such as anorexia nervosa. Low blood glucose levels after meals may be linked to gastric bypass surgery or excess consumption of refined carbohydrates and is the result of increased insulin production. An important part of managing blood glucose levels, as well as the overall health of a person, is maintaining a healthy weight through a healthy diet and exercise plan. Common CausesHere are some factors or conditions that may lead put patients at risk for an unstable blood glucose:
Goals and OutcomesThe following are the common goals and expected outcomes:
Nursing AssessmentAssessment is important to identify potential problems that may have lead to changes in blood glucose level as well as handle any conflict that may appear during nursing care.
Nursing InterventionsThe following are the therapeutic nursing interventions for Risk for Unstable Blood Glucose Level:
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