Nursing Diagnosis: Blood glucose instability riskSubjective: “I need help with a diet that works, when I try to diet, I always become very shaky and my blood sugar drops, then I have to eat to fix it.”Objective: Diaphoresis and weaknesses reported 3 to 4 times a week for patients; current HgbA1C - 7.2Intervention: Monitoring blood glucose (BG) levels 1 to 2 hours after meals before eating and snacking.Rationale: Evidence supports BG and HgbA1C self-monitoring (ADA, 2014).Intervention: PT will monitor BG if it has hypoglycemia; pt. will provide between 15 and 20 g of pure glucose if it has less than 70mg/dl.Rationale: Hypoglycemia treatment needs the use of food-borne glucose or carbohydrates (ADA, 2014).Intervention: The patieent is referred for instruction on carbohydrate counting and weight reduction counseling by the dietician.Rationale: The monitoring of the consumption of carbohydrates is the key to glycemic management. In specific individuals – especially early in the illness process – a moderate weight loss might offer therapeutic advantages (ADA 2014).).Expected Outcomes:In order to maintain values between 70 to 130 mg/dl, Pt will check BG standards.In each hypoglycemic case, Pt will check the BG level. Consume 15-20 g of sucrose when the level is less than 70 pt.To understand reliable carbohydrate measuring and weight management approaches, PT participates in food counseling (ADA, 2014).CONCEPT MAP NARRATIVE2 Patient InformationName: Smith JuneAge: 49 Gender: FemaleTemp: 97.8 Pulse: 84 Resp. Rate: 22 BP: 146/72 CC: ask for help with weight increase, physical energy reductionMedical History: Hypothyroidism, NIDDMNursing Diagnosis: Excessive nutrient consumption risk of overweight r/tSubjective: “I keep gaining weight.”Objective: In the previous 90 days, weight increase of 12 pounds.Nursing Diagnosis: Uncontrolled apparent loss of personal controlSubjective: “I have tried everything to lose weight; nothing is working”Objective: The patient seems concerned, upset, and voiced fear of a permanent failure.