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School Nursing Evidence-Based Clinical Practice Guideline: Students with Type 1 Diabetes

Release Date: 11/22/2021
Expiration Date: 11/22/2026

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Lori Wilt, PhD, RN, NJ-CSN, CNE
Beth Jameson, PhD, RN, NJ-CSN

Erin D. Maughan, PhD, RN, PHNA-BC, FNASN, FAAN

Approximately 1.1 million children and adolescents are estimated to have T1D globally, with an estimated 128,900 new cases annually (International Diabetes Foundation, 2019). Roughly one third of all new TID diagnoses present with life-threatening diabetic ketoacidosis (DKA) (American Diabetes Association, 2020). Children with T1D spend 6-10 hours in school, and effective T1D management is integral to their short- and long-term health.

Based on the most recent and highest quality evidence available, the purpose of this Guideline is to give the school nurse, working with students in grade pre-k-12 who have T1D, practice recommendations and strategies to provide quality care and improve the health and safety of the school-age child with T1D. Student goals resulting from successfully implementing the guideline include:

  • improved management of T1D
  • decreased time spent out of the classroom
  • improved student academic success
  • full participation in all school activities
  • decreased hospitalizations
  • improved quality of life
  • improved mental well being

NOTE: This guideline is a decision-making tool and is not intended to replace application of nursing judgment.

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