Diabetes in Children: Care Plan for School or Day Care - Topic Overview
You may hear a care plan called a "504" plan. 504
refers to Section 504 of the Rehabilitation Act of 1973, the Individuals with
Disabilities Education Act of 1991, and the Americans with Disabilities Act.
These are laws that protect people who have disabilities. It means that schools
that have federal funding cannot discriminate against children who have
disabilities, and that includes children who have diabetes.1 You can find a Diabetes Medical Management Plan on the American Diabetes
You will need to give the staff all of the
materials and equipment they need to care for your child, including supplies to
home blood sugar test, insulin, syringes,
glucagon (if it's in the care plan), and materials for
testing ketones. And you need to teach the staff how to use these
materials. Remind the staff that your child needs access to the materials and
equipment at all times, even on a field trip. Now and then, check the expiration
dates of supplies your child has at school.
The child care center
or school should provide safe storage for your child's medicines. Also,
they should provide a private place for your child to receive care, if
The child care center or school should provide an adult
staff member and a backup person who are:1
- Able to test your child's blood sugar level,
record the results, and take the correct action for high or low blood sugar
- Trained to give insulin and glucagon, if
- Able to test your child's urine or blood for ketones and
know what to do if the results are not normal.
- Aware of your
child's meal and snack schedule and can remind your child when it is time to
Also, your child should have permission to:
- Eat a snack anywhere, including the classroom and
school bus. Make sure this is in the diabetes care plan.
- Use the
restroom and drink liquids as needed.
- See school health personnel
whenever he or she asks.
- Miss school (without consequences) for