Risk for Unstable Glucose

this diagnostic statement was ok until you got to a/e/b frequent events of nocturnal hypoglycemia. "risk for" diagnoses, which are anticipated problems (problems that do not exist--yet), cannot have any signs and symptoms because they have not occurred. the somogyi phenomenon is rebound hyperglycemia that happens in the morning.

• http://www.dlife.com/dlife/do/showco...nero_0106.html - somogyi effect vs. dawn phenomenon

so, if this patient is a diabetic on insulin and having a somogyi effect with hyperglycemia in the morning that is a real problem and i would diagnose it as ineffective self health management r/t knowledge deficit aeb frequent nocturnal hypoglycemia [this was previously called ineffective therapeutic regimen management]. ineffective health maintenance could also be used if the patient is not following the physician's directions in performing blood glucose monitoring as directed or taking the right dose of insulin at the right time. the interventions would be teaching the patient about the somogyi phenomenon and what to do about it. include the importance of blood sugar measurements.