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

Release date: 06/15/2022
Expiration date: 06/15/2027

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According to SEARCH for Diabetes in Youth the incidence of type 1 diabetes (T1D) in children and youth under the age of 20 is increasing. In 2009, it was estimated 167,000 youth lived with T1D. The literature demonstrates that children with T1D experience multiple challenges in school that may place them at an increased risk for diabetes-related complications. It is critical that a safe and supportive environment exists in schools for students with T1D to self-manage their disease, achieve optimal glycemic stability, and proactively plan and implement risk reduction strategies to minimize actual or potential diabetes-related complications. School nurses provide leadership in the school setting to support resilience and self-management for students with T1D.

NASN’s School Nursing Evidence-Based Clinical Practice Guideline: Students with Type 1 Diabetes, provides evidence-based recommendations to assist the school nurse in their role of improving the health and safety of the school-age child with T1D. This toolkit is designed to help school nurses implement those recommendations. Multiple tools and resources are included to provide care for students with T1D:

  • Nursing Assessment
  • Planning and Implementing Care
  • Evaluating Care
  • Additional Resources

Lead Author

Executive Health Services Consulting, LLC
Molalla, Oregon


Andrea Ferguson, BSN, RN, CSN
Health Services Coordinator, Beauregard Parish School Board
DeRidder, Louisiana

Sharon-Rose Gargula, MSN, RN, NCSN
Stanton Middle School
Wilmington, Delaware

Karen Graf, MSN, RN-BC, APHN
Program Manager Rural Health, School Nurse Program, Riverstone Health
Billings, Montana

Kathey Haynie, MSN, RN
Program Assistant Little Creek Behavioral School
Conway, Arkansas

Elizabeth Hinkson, MSN, RN-BC, NCSN
Utah Department of Health, School Nurse Consultant
Salt Lake City, Utah

Leslie Timperman-Wightman, BSN, RN, NCSN, CDCES
Rochambeau, the French International School
Bethesda, Maryland

Amy Widderich, BSN, RN, NCSN
Lead Nurse, Alamance-Burlington School System
Burlington, North Carolina

Leah Wyckoff, MS, BSN, RN, NCSN-E
School Nurse Consultant, Barbara Davis Center for Childhood Diabetes
Parker, Colorado


Nichole Bobo, MSN, RN
Director of Nursing Education

Commercial Support or Grant Funding Statement

This activity is supported by a contribution from Lilly.