Diabetes Management

  • Diabetes Care at School

    Health and Safety Code Chapter 168, Section 168.008, allows students with diabetes to self-carry and administer medication to manage their condition respectively. Student’s management activities should be outlined in their Diabetes Management and Treatment Plan and their Individualized Healthcare Plan. Activities may include but are not limited to performing blood glucose checks, administering insulin, treating hypo or hyperglycemia, and possessing supplies or equipment on their person to monitor and care for diabetes. In order to self-manage, a student’s Diabetes Management and Treatment Plan must evaluate if the student is mature enough and has demonstrated the skills to self-manage, and be signed by the parent and the physician or healthcare provider. It is recommended that the ability to manage and properly self- administer diabetes medications is demonstrated to the school nurse or school health staff at regular intervals to ensure the student can safely and correctly self-administer their medication and manage their diabetes. School personnel that will be supervising the student during regular school hours, and during school-related extracurricular activities should be informed that the student is self-carrying with the intention to self-administer if necessary.

    Diabetes Medical Management Plan (DMMP)

    The parent or guardian of a student who will seek care for diabetes while at school or while participating in a school activity, and the physician responsible for the student’s diabetes treatment, shall develop a Diabetes Medical Management Plan (DMMP). The parent or guardian must submit the DMMP to the school, and the school must review the plan:

    1. Before or at the beginning of the school year;
    2. On enrollment of the student, if the student enrolls after the beginning of the school year; or
    3. As soon as practicable following a diagnosis of diabetes for the student.

    Individualized Health Plan

    Upon receiving the student’s DMMP, the school principal, or designee, and the school nurse, if a school nurse is assigned to the school, shall develop an Individualized Health Plan (IHP) for the student. The IHP shall be developed in collaboration with the student’s parent or guardian and, to the extent practicable, the physician responsible for the student’s diabetes treatment and one or more of the student’s teachers. If a school nurse is assigned to a campus and the nurse is available, the nurse shall perform the tasks necessary to assist a student with diabetes in accordance with the student’s IHP.

    Independent Monitoring and Treatment

    In accordance with the student’s IHP, the school shall permit the student to attend to the management and care of the student’s diabetes, which may include:

    1. Performing blood glucose level checks;
    2. Administering insulin through the insulin delivery system the student uses;
    3. Treating hypoglycemia and hyperglycemia;
    4. Possessing on the student’s person at any time any supplies or equipment necessary to monitor and care for the student’s diabetes; and
    5. Otherwise attending to the management and care of the student’s diabetes in the classroom, in any area of the school or school grounds, or at any school-related activity.

    Required Care

    House Bill No. 984 (Care of the Student with Diabetes) enacted in 2005, specifies that each school train one (1) Unlicensed Diabetes Care Assistant (UDCA), if a full-time nurse is assigned to the school. The UDCAs will provide diabetes management and care services, if the nurse is unavailable. Such services include, but are not limited to, the administration of insulin, or in an emergency, the administration of glucagon. If the student’s parent/guardian chooses not to allow a UDCA to provide diabetes care in the absence of the school nurse, the parent/guardian will then be responsible for administration of the diabetes care. The school nurse shall coordinate the training of school employees acting as the UDCA. Training must be provided before the beginning of the school year or as soon as practicable following: 

    1. The enrollment of a student with diabetes at a campus that previously had no students with diabetes; or
    2. A diagnosis of diabetes for a student at a campus that previously had no students with diabetes.

    For more information regarding Diabetes Care at School, see the NCISD Parent/Student Handbook & Student Code of Conduct.