PATHOPHYSIOLOGY
Type 2 diabetes mellitus is a heterogeneous syndrome
woman, 68-year-old, T2DM and
hypertiention for 8 yrs
Assessment
_ BP: 165/80
_ Headache in the occipital
region
_ Dizziness
Nursing Diagnosis:
Headache r/t Increased
cerebral vascular pressure
Nursing care plan
_ BP within acceptable
limits
_ Headache, dizziness is
relieved/controlled
Patient with
T2DM
Assessment
_ BG: 200mg/dL
_ Fatigue, inability to perform
daily activities
_ Decreased muscle strength
Nursing Diagnosis:
Activity intolerance r/t
Decreased metabolic energy
production
Nursing care plan
_ Blood sugar monitorin in
patient’s target
_ Verbalize increase in
energy level.
_ Display improved ability to
participate in desired
activities.
characterized by abnormalities in carbohydrate and fat
metabolism.
+ beta-cell dysfunction
+ reduced insulin sensitivity
+ elevated non-esterified fatty acid concentrations
+ deposition of triglycerides in muscle, liver,
pancreatic cells and the adipose tissue
Assessment
_ Unable to feel your feet
while walking
_ Other times, feet will
tingle
_ Artery of the feet is
weak or hard to catch
Nursing Diagnosis:
Rick of Foot Injury r/t poor
circulation and Decreased
sensation
Nursing care plan
_ Patient is free of injury
to feet.
_ Exam foot every day
_Assess the ricks for injury
to the foot. Reduce and
correct patient’s risk
factors
Scheen, A. J. (2003). PATHOPHYSIOLOGY OF TYPE 2 DIABETES. Acta Clinica Belgica,
58(6), 335-341. doi:10.1179/acb.2003.58.6.001