Introduction This paper is aimed at developing a nursing care development plan for Douglas Adams, a 51-year old male. Douglas has a history of diabetes and hypertension. He is also said to have allergies to penicillin. Douglas does not take alcohol but he smokes at least one packet a day. This paper provides a nursing diagnosis of Douglas, based on his health statistics. This analysis will be followed by a nursing diagnosis and an identification of the three highest priority nursing diagnoses. A conclusion summarizing the findings of the study will thereafter be provided. Collecting Data Douglas was found in a disoriented state which was informed by a Glasgow coma score of 14/15 (after a medical examination was undertaken). During the medical examination, Douglas talked in a slow and slurred speech, and often complained of weakness (no energy). During the same medical examination, Douglas appeared to be very restless. His GCS dropped to 13 and he has no recollection of what year or date it was. The medical examination also revealed that Douglas took his dose of insulin in the morning (which recorded a blood sugar reading of 2.1 mmols and 26 units of humalogmix). After consultations with the medical officer, 15-20 grams of carbohydrates in 125 mls of orange were administered to Douglas (which revealed a GLS of 15). Nursing Diagnosis Considering the above statistics regarding Douglas, it is inevitable to disclose that, he is at risk of secondary hypoglycemia because there was a drop in his blood sugar levels (after a careful medical examination was undertaken). This diagnosis is supported by impairment in neurological function, which is also supported by a fall in glucose levels (associated with secondary hypoglycemia) (Rubin, 2010). This observation is also supported by the fact that, during the medical examination, Douglas could not recall what day or year it was. Moreover, he was very restless. Douglas is also at risk of falling down because of hypoglycemia. This observation is supported by the fact that he was excessively weak and powerless during the medical examination. These symptoms are normally caused by a drop in glucose levels (Hay, 2010, p. 53). At the same time, Douglas is at risk of suffering from increased anxiety because of his current predicament and the fear that he is unable to control diabetes. He is also at risk of developing hyperglycemia because of the over-treatment of hypoglycemia, and at the same time, his vital organs are at risk of malfunctioning because of his unstable blood glucose level (Chow, 2007). Highest Priority Nursing Diagnoses The three highest nursing diagnoses are the patient’s risk of developing secondary hypoglycemia related to a drop in blood glucose levels (again), the patient’s risk of developing an impaired neurological system (related to secondary hypoglycemia), and the patient’s risk of falling down due to hypoglycemia (Herrin, 2003). In addressing the first nursing diagnosis, the main aim of the nursing interventions (to be administered) will be to prevent the development of secondary hypoglycemia by increasing blood glucose levels. The four immediate nursing interventions center on stabilizing the blood glucose level (Life Tips, 2011, p. 1). The first nurs