NURSING CARE FOR SELF-MANAGEMENT PROMOTION OF DIABETES MELLITUS PATIENTS WITH SEVERE HYPOGLYCEMIA AND CO-MORBIDITIES: A CASE STUDY
Keywords:
Hypoglycemia, Self-Management, Nursing CareAbstract
Hypoglycemia is a major complication for diabetic mellitus patients with eating problems, which increases the chance of re-admission and high incidence of mortality rate compared to hyperglycemia. So, diabetic mellitus patients need to have proper self-management to prevent or delay the re-admission with hypoglycemia. Therefore, the nurse has important roles in promoting self-management of diabetic mellitus patients by providing them the knowledge about the prevention of hypoglycemia, symptom assessment, and initial self-management to ensure safety and long-term positive outcomes. The purpose of this article is to review about self-management, hypoglycemia and the nursing care for diabetic mellitus patients with hypoglycemia in three phases: the initial care phase, the continuous care phase, and the discharge planning phase to save the patients from complication, prevent re-admission with hypoglycemia as well as being able to self-care.
References
American Diabetes Association Professional Practice Committee. (2025). Introduction and methodology: Standards of care in diabetes—2025. Diabetes Care, 48(1), S1-S5.
Boonyarit, C. (2020). Factors affecting hypoglycemia in patients with diabetes mellitus at Singburi Hospital. Singburi Hospital Journal, 29(1), 63-72. [in Thai]
Casegas, J. (2024). Self care management of diabetes an integrative literature review to understand challenges faced by the elderly. International Healthcare Review (online). https://doi.org/10.56226/70
Centers for Disease Control and Prevention. (2024). National diabetes statistics report. https://www.cdc.gov/diabetes/php/data-research/index.html
Danyuthasilpe, C. (2018). Pender’s health promotion model and its applications in nursing practice. Songklanagarind Journal of Nursing, 38(2), 132-141. [in Thai]
Department of Health, Ministry of Public Health. (2025). DoH dashboard department of health. https://dashboard.anamai.moph.go.th/dashboard/dm?year=2024 [in Thai]
Diabetes Association of Thailand under the Patronage of H.M. the King & Endocrine Society of Thailand. (2023). Clinical practice guideline for diabetes 2023. Srimuang Printing.
Elghobashy, M., Gama, R., & Sulaiman, R. A. (2023). Investigation and causes of spontaneous (non-diabetic) hypoglycaemia in adults: Pitfalls to avoid. Diagnostics, 13, 3275.
Gerhardt, M. W. (2010). Self-management tutorials individual self-management training in management education. https://www.researchgate.net/publication/268425764_Self-Management_Tutorials_Individual_Self-Management_Training_in_Management_Education
Harnyoot, O. (2014). Nursing process and implications. Journal of the Royal Thai Army Nurses, 15(3), 137-143. [in Thai]
Information Technology & Communication Centre. (2025). In patient admission for hypoglycemia of statistical data. Phichit Hospital. [in Thai]
Kanfer, F. H., & Gaelick-Bays, L. (1991). Self management method. In F.H. Kanfer, & A. Goldstein (Eds.), Helping people change: A textbook of methods (pp. 305-360). Pergamon Press.
Lynge, T. H., Svane, J., Pedersen-Bjergaard, U., Gislason, G., Torp-Pedersen, C., Banner, J., Risgaard, B., Winkel, B. G., & Tfelt-Hansen, J. (2019). Sudden cardiac death among persons with diabetes aged 1-49 years: A 10-year nationwide study of 14 294 deaths in Denmark. European Heart Journal, 41, 2699-2706. https://doi.org/10.1093/eurheartj/ehz891
McCall, A. L., Lieb, D. C., Gianchandani, R., MacMaster, H., Maynard, G. A., Murad, M. H., Seaquist, E., Wolfsdorf, J. I., Wright, R. F., & Wiercioch, W. (2023). Management of individuals with diabetes at high risk for hypoglycemia: An endocrine society clinical practice guideline. The Journal of Clinical Endocrinology & Metabolism, 108(3), 529-562.
Pahn, J., Yang, Y., & Kim, S. H. (2025). Factors influencing self-management and health-related quality of life in low-income patients with diabetes: A predictive model. International Journal of Nursing Studies Advances, 8, 100349.
Paoweingkam, P., & Kehanak, S. (2022). Factors associated with diabetes mellitus management service of village health volunteers in Samchuk District, Suphanburi Province. Lanna Public Health Journal, 18(2), 116-128. [in Thai]
Pender, N. J. (1987). Health promotion in nursing practice (2nd ed.). Appleton & Lange.
Poolsanguan, M. (2022). Factors related to blood sugar control among diabetes type 2 patients, Kohyaochaipat Hospital, Kohyao District, Phangnga Province. Journal of Health Science of Thailand, 31(2), 299-306. [in Thai]
Poomsanguan, K. (2014). Health and health promotion: Nurses’ important role. Journal of the Royal Thai Army Nurses, 15(2), 10-14. [in Thai]
Promwong, W., & Meenongwah, J. (2019). Fluid self-management in heart failure patients. Vajira Medical Journal: Journal of Urban Medicine, 63(4), 297-304. [in Thai]
Punthasee, P. (2024). Nursing process & functional health pattern: Application in clinical practice (32th ed.). Pimaksorn. [in Thai]
Rattarasarn, C. (2568). Holistic diabetes management. Thai Diabetes Bulletin, 57(1), 10-25. [in Thai]
Srijompon, J., & Muktabhant, B. (2018). Association between knowledge and attitude and practice of village health volunteer in capillary blood glucose checking for diabetic patients living in Wiangkum Subdistrict, Kumpawapi District, Udonthani Province. Journal of Sakon Nakhon Hospital, 21(2), 79-87. [in Thai]
Sripum, N., Poum, A., & Tongsook, C. (2021). Self-care behaviors of patients with uncontrolled diabetes mellitus in Prachantakam District, Prachinburi Province. Science and Technology Northern Journal, 2(3), 17-29. [in Thai]
The Heart Association of Thailand under the Royal Patronage of H.M. the King. (2019). Heart Failure Council of Thailand (HFCT) 2019 heart failure guideline. Nextstep D-sign.
World Health Organization. (2024). Diabetes. https://www.who.int/news-room/fact-sheets/detail/diabetes
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Journal of Health and Food Creation

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
“ข้าพเจ้าและผู้เขียนร่วม (ถ้ามี) ขอรับรองว่า บทความที่เสนอมานี้ยังไม่เคยได้รับการตีพิมพ์และไม่ได้อยู่ระหว่างกระบวนการพิจารณาลงตีพิมพ์ในวารสารหรือแหล่งเผยแพร่อื่นใด ข้าพเจ้าและผู้เขียนร่วมยอมรับหลักเกณฑ์การพิจารณาต้นฉบับ ทั้งยินยอมให้กองบรรณาธิการมีสิทธิ์พิจารณาและตรวจแก้ต้นฉบับได้ตามที่เห็นสมควร พร้อมนี้ขอมอบลิขสิทธิ์บทความที่ได้รับการตีพิมพ์ให้แก่สถาบันการจัดการปัญญาภิวัฒน์หากมีการฟ้องร้องเรื่องการละเมิดลิขสิทธิ์เกี่ยวกับภาพ กราฟ ข้อความส่วนใดส่วนหนึ่งและ/หรือข้อคิดเห็นที่ปรากฏในบทความข้าพเจ้าและผู้เขียนร่วมยินยอมรับผิดชอบแต่เพียงฝ่ายเดียว”