Hyperglycemia Nursing Care Plan

Confidently manage and monitor hyperglycemia and its risk through this comprehensive Hyperglycemia Nursing Care Plan and guide for effective and preventive care delivery! 

By Harriet Murray on Jul 17, 2024.


Fact Checked by Ericka Pingol.

Use Template
Hyperglycemia Nursing Care Plan PDF Example
ToolbarShare uiAI Icon

What is a Hyperglycemia Nursing Care Plan template?

Hyperglycemia refers to elevated blood sugar levels beyond the normal range in the bloodstream. Diabetes mellitus is a chronic condition where insufficient insulin is produced in the pancreas, or the body cannot use the insulin produced effectively. This build-up and increased glucose concentration is referred to as hyperglycemia. 

Primarily associated with diabetes, hyperglycemia can also occur due to various other factors like stress, illness, certain medications, or hormonal changes. In the context of Type 1 diabetes, the body doesn't produce enough insulin. For type 2 diabetes, the body cannot effectively use the insulin it produces, leading to an imbalance in blood glucose levels. A blood glucose level over 125 mg/dL may be considered hyperglycemic while fasting and over 180 mg/dL after eating. 

Like generic Nursing Care Plans, the goal of this specific Nursing Care Plan lies in its ability to provide structured, targeted care to individuals experiencing this condition. Hyperglycemia poses immediate risks and can lead to both short-term and long-term complications. Acute hyperglycemia may cause increased thirst, fatigue, and blurred vision. Should it go untreated, hyperglycemia can lead to life-threatening conditions such as diabetic ketoacidosis or hyperosmolar hyperglycemic state. 

A patient who experiences consistently high blood sugar levels may experience discomfort and cannot function properly or effectively. The condition can lead to dehydration, increased risk of infection, and negatively impact one’s mood and cognition if not managed properly. Implementing a Hyperglycemia Nursing Care Plan is crucial for proper management and assurance of high-quality care and symptom management. 

Hyperglycemia Nursing Care Plan Template

Download PDF Template

Hyperglycemia Nursing Care Plan Example

Download Example PDF

How does it work?

Step One: Gather your resources

Hyperglycemia Nursing Care Plans are a valuable resource and essential to keep on hand. Make sure that you have a copy of the free printable PDF when the need arises by either clicking the “Download Template” or “Use Template” button or by searching “ Hyperglycemia Nursing Care Plan” on Carepatron’s template library’s search bar on the website or app.

Step Two: Collate essential information

Once the patient's key information has been gathered, utilize the Hyperglycemia Nursing Care Plan Template to ensure all goals of care are met. Seamless access to this plan for relevant parties can be achieved via Carepatron's centralized workspace. Assessment, symptom management, and interventions can be collated within the single plan and safely stored on a single database.

The care plan allows for individualized treatment options. It acts as a scaffolding to ensure goals of care are met, and the next steps are recorded for future reference or for distribution to other healthcare specialists who are part of the patient's care team.

Step Three: Store the chart securely

After reviewing the Hyperglycemia Nursing Care Plan and creating a viable and individualized plan for the patient, you need to secure the plan so that access is only granted to relevant parties.

Ensure this through Carepatron's HIPAA-compliant electronic patient records software. Here, all relevant medical records can be safely stored and collated for ease and security.

When would you use this template?

Hyperglycemia Nursing Care Plans are utilized in various healthcare scenarios and settings whenever patients present with elevated blood sugar levels, particularly in cases associated with diabetes. Below are some situations when this care plan is commonly used:

Hospital Admissions

During hospitalizations, especially for patients with diabetes or those admitted due to complications related to hyperglycemia. The care plan guides nurses in managing blood sugar levels, administering insulin or other medications, and preventing further complications.

Outpatient Clinics

In outpatient settings such as primary care clinics, endocrinology practices, or diabetic care centers, to aid healthcare providers in systematically addressing hyperglycemia. It assists in monitoring blood sugar levels, adjusting medications, educating patients, and ensuring follow-up care.

Home Healthcare

For patients receiving home healthcare services, particularly those managing diabetes. The care plan helps home health nurses provide structured care, monitor blood glucose levels, ensure medication compliance, and educate patients and caregivers about managing hyperglycemia at home.

Long-Term Care Facilities

Within nursing homes or long-term care settings where residents have diabetes or are prone to hyperglycemia. The care plan assists nursing staff in monitoring blood sugar levels, administering medications, and implementing lifestyle modifications to manage and prevent high blood sugar episodes.

Emergency Department Visits

In emergencies where patients present with acute complications related to hyperglycemia, such as diabetic ketoacidosis (DKA) or hyperosmolar hyperglycemic state (HHS). A care plan helps guide immediate interventions to stabilize blood sugar levels and initiate appropriate treatment.

Preventive Care

In cases where individuals with diabetes or a history of hyperglycemia seek routine care, the care plan aids in monitoring blood sugar levels, adjusting medications as needed, and providing education on preventive measures to avoid hyperglycemic episodes.

What do the results mean?

Type 2 diabetes 

When assessing a patient for hyperglycemia, the focus must lie on the patient's cardiorespiratory status, mental status, and volume status. Testing that reveals serum electrolytes with the calculation of the anion gap, blood urea nitrogen and creatinine, and complete blood count are of value. 

Typically, urinalysis by dipstick to monitor glucose and ketones in the urine is utilized for blood glucose determination. Should the results present any of the following, the patient has developed type 2 diabetes, and risks of hyperglycemia must be managed: 

  • A fasting plasma glucose level of 126 mg/dL or higher
  • A 2-hour plasma glucose level of 200 mg/dL or higher during a 75-g oral glucose tolerance test (OGTT)
  • Random plasma glucose of 200 mg/dL or higher in the presence of symptoms of hyperglycemia
  • A hemoglobin A1c level of 6.5% or higher

Decreased cardiac output

Unmanaged hyperglycemia can potentially damage blood vessels, resulting in reduced cardiac output. This may be evidenced through tachycardia, dyspnea, reduced oxygen saturation, hypotension, and a weak peripheral pulse. Through creating a care plan the expected goals are that the patient will manifest adequate cardiac output as evidenced by stable vital signs, Urine output of 0.5 to 1.5 cc/kg/hour, and an absence of arrhythmia. 

Ineffective health maintenance

If the patient has a diet that is high in carbohydrates, paired with a sedentary lifestyle, and a lack of adherence to recommended insulin medication use, then intervention is required to prevent future health complications. 

Research & evidence

Failure to address hyperglycemia can result in severe, life-threatening complications affecting various vital systems such as the eyes, kidneys, nerves, heart, and peripheral vascular system. Therefore, it is crucial to manage hyperglycemia effectively and promptly to avert disease-related complications and enhance patient outcomes (Mouri & Badireddy, 2023). 

The occurrence of hyperglycemia has notably risen in the past twenty years, attributed to rising rates of obesity, decreased physical activity, and an aging demographic. The prevalence remains equivalent among both genders. Countries most affected by diabetes include China, India, the United States, Brazil, and Russia, and further work shows that households with moderate to low incomes hold higher rates of hyperglycemia (Mouri & Badireddy, 2023). 

Recent statistics released by the Centers for Disease Control and Prevention reveal that approximately 30.5 million individuals in the United States have diabetes, while almost 84 million have prediabetes. These figures are anticipated to rise significantly in the coming decade, highlighting the need for comprehensive education on management and Hyperglycemia Nursing Care Plans (Rawlings et al., 2019, Jacobsen et al., 2014). Treating hyperglycemia entails eradicating its associated symptoms and minimizing potential long-term complications. 

For individuals with type 1 diabetes, managing glycemic levels involves a personalized insulin regimen alongside proper dietary intake. Meanwhile, individuals diagnosed with type 2 diabetes receive treatment through dietary adjustments, lifestyle modifications, and medication regimens, often including oral glucose-lowering agents. The treatment objectives recognized in the literature involve the 

Mitigation of kidney and eye ailments by regulating blood pressure and reducing hyperglycemia, alleviation of the risk of ischemic heart disease, stroke, and peripheral vascular disease by managing hypertension, and hyperlipidemia, and ceasing smoking habits. Another shared goal is to lower the likelihood of metabolic syndrome and stroke by managing body weight and controlling hyperglycemia (Mouri & Badireddy, 2023).

Individuals diagnosed with type 2 diabetes and experiencing hyperglycemia should be referred to an endocrinologist for specialized care. Metformin is the preferred drug for reducing hyperglycemia unless contraindicated (Mouri & Badireddy, 2023). Additionally, some patients might necessitate insulin therapy in conjunction with other medications. The use of a hyperglycemia care plan is crucial for diabetes management and is an invaluable tool in any healthcare setting. 


Jacobsen, J. J., Black, M. H., Li, B. H., Reynolds, K., & Lawrence, J. M. (2014). Race/ethnicity and measures of glycaemia in the year after diagnosis among youth with type 1 and type 2 diabetes mellitus. Journal of Diabetes and Its Complications, 28(3), 279–285. https://doi.org/10.1016/j.jdiacomp.2014.01.010

Mouri, Mi., & Badireddy, M. (2023). Hyperglycemia. National Library of Medicine; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK430900/

Rawlings, A. M., Sharrett, A. R., Albert, M. S., Coresh, J., Windham, B. G., Power, M. C., Knopman, D. S., Walker, K., Burgard, S., Mosley, T. H., Gottesman, R. F., & Selvin, E. (2019). The Association of Late-Life Diabetes Status and Hyperglycemia With Incident Mild Cognitive Impairment and Dementia: The ARIC Study. Diabetes Care, 42(7), 1248–1254. https://doi.org/10.2337/dc19-0120

How do you create a Hyperglycemia Nursing Care Plan template?
How do you create a Hyperglycemia Nursing Care Plan template?

Commonly asked questions

How do you create a Hyperglycemia Nursing Care Plan template?

To create a comprehensive Nursing Care Plan for hyperglycemia management, simply create a customized plan from the scaffolding provided by Carepatron and cater to the patient's needs through the key aspects of assessment, diagnosis, planning, intervention, and evaluation. 

When are Hyperglycemia Nursing Care Plan Templates used?

These valuable plan templates can be used at any point of the treatment journey for a patient with hyperglycemia to track, monitor, and plan all interventions by healthcare professionals and the patient themselves. 

How are the Hyperglycemia Nursing Care Plan Templates used?

Hyperglycemia Nursing Care Plan templates are used as a planning tool for efficient and confident care delivery. They are designed to be customized to meet the individual patient's needs.

Join 10,000+ teams using Carepatron to be more productive

One app for all your healthcare work