Background: Hypoglycemia is a well-recognized complication among patients with type 1
diabetes, and it is the most common diabetes-related emergency. It is a complication of diabetes
that cannot be ignored because it will increase morbidity and mortality in diabetic patients. thus,
coordinated nursing care of the hypoglycemia patient results in improved outcomes, decreased
lengths of hospital stay and minimize complications. The aim of the study: -Evaluate the effect
of nursing-directed protocol on the occurance of hypoglycemic episodes among patients at
Medical Intensive Care Unit. Study design: - Quasi- experimental research design. Study
setting: This study was conducted at Medical Intensive Care Unit of Tanta Main University
Hospital. Study subjects: Purposive sampling of 60 adult patients with hypoglycemia and
meeting all inclusion criteria, were divided into two equal groups; each group consisted of 30
patients. Tools of data collection: -Three tools were used. Tool (I): Patients Structured
Assessment Tool; Socio-demographic data of the patients, Patient`s Clinical Data. Tool (II):
Blood Glucose Measurements Flow Sheet tool. Tool (III): Monitoring of Hypoglycemic
manifestation and its complications among critically ill Patients. Result: The main results
revealed a significant improvement in relation to vital signs, level of consciousness, blood
glucose measurements among study group. Statically significant difference was observed related
to hypoglycemic manifestation and complication among the control and study group with
P<0.05. conclusion: the nursing-directed protocol had positive effect on decreasing
hypoglycemic episode by improving blood glucose level, reducing hypoglycemic manifestations
and complications. Recommendation: Replication of the same study on larger probability
sample at different geographical locations for data generalizability