Fatigue - NCP Diabetes Mellitus

NCP Fatigue - Diabetes Mellitus

Fatigue NANDA Definition: An overwhelming, sustained sense of exhaustion and decreased capacity for physical and mental work at usual level

Diabetes is usually a lifelong (chronic) disease in which there are high levels of sugar in the blood.


High blood sugar levels can cause several symptoms, including:
  • Fatigue
  • Blurry vision
  • Excess thirst
  • Hunger
  • Urinating often
  • Weight loss

Because type 2 diabetes develops slowly, some people with high blood sugar have no symptoms.

Symptoms of type 1 diabetes develop over a short period of time. People may be very sick by the time they are diagnosed.

After many years, diabetes can lead to other serious problems:
  • You could have eye problems, including trouble seeing (especially at night) and light sensitivity. You could become blind.
  • Your feet and skin can get painful sores and infections. Sometimes, your foot or leg may need to be removed.
  • Nerves in the body can become damaged, causing pain, tingling, and a loss of feeling.
  • Because of nerve damage, you could have problems digesting the food you eat. This can cause trouble going to the bathroom. Nerve damage can also make it harder for men to have an erection.

Nursing Diagnosis for Diabetes Mellitus : Fatigue

related to :
  • Increased energy demands: hypermetabolic state/infection
  • Altered body chemistry: insufficient insulin
  • Decreased metabolic energy production

Evidenced by :
  • Impaired ability to concentrate, listlessness, disinterest in surroundings
  • Overwhelming lack of energy, inability to maintain usual routines, decreased performance, accident-prone.

Outcomes :
  • Display improved ability to participate in desired activities.
  • Verbalize increase in energy level.

Nursing Interventions :

1. Monitor BP, pulse, respiratory rate before/after activity.
Rationale : Indicates physiological levels of tolerance.

2. Increase patient participation in ADLs as tolerated.
Rationale : Increases confidence level/self-esteem and tolerance level.

3. Alternate activity with periods of rest/uninterrupted sleep.
Rationale : Prevents excessive fatigue.

4. Discuss with patient the need for activity. Plan schedule with patient and identify activities that lead to fatigue.
Rationale : Education may provide motivation to increase activity level even though patient may feel too weak initially.