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Diabetes at School: What a Child’s Health Care Team Needs to Know About Federal Disability Law

The bottom line is clear: children with diabetes spend an enormous amount of time in school and must be able to achieve the same level of diabetes management in school that they do during the rest of the day. To do this, they need access to the tools for diabetes management (blood glucose testing equipment; insulin delivery systems; oral, fast-acting carbohydrate and glucagons; sufficient time to adhere to their nutrition plan) and to school personnel who are knowledgeable about diabetes and able to assist when needed.

In many schools and day care centers, children with diabetes are fully supported with regards to diabetes management. Unfortunately, in others, good diabetes management is obstructed. In these settings, school personnel seem convinced that the easiest (and legally safest) way to respond to children with diabetes is to just say "no." Families are thus told, for example, that school personnel cannot help younger children with blood glucose testing or insulin administration, that older children cannot test their own blood glucose levels in their classroom, that nonmedical personnel cannot administer glucagon, or that children with diabetes cannot participate in sports or other extracurricular activities.

Schools need to be educated about diabetes so that they understand how easily they can facilitate good diabetes care for their students with diabetes. For some schools, providing information about diabetes is enough. Other schools are not so easily convinced that they can or should allow diabetes management at school. That is why it is important for families and their health care teams to understand children’s legal rights in school and for schools to understand and meet their legal responsibilities.

Federal Protection for Students With Diabetes

Three federal . . . [Full Text of this Article]

Section 504
Americans With Disabilities Act
IDEA
The Importance of Written Plans

Health Care Plan
504 Plan/IEP
Deciding How to Proceed

Footnotes

References

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