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Chapter 20: Management and support of children and adolescents with type 1 diabetes in school
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,
Dear Members,
Dear Friends,

Children with diabetes, wherever they live, should not face limitations and should be able to regularly attend school, receive an education and live happy, fulfilled lives. Unfortunately, there are still places around the world where children and their families face discrimination, or where parents are expected to “fill the gap” of school resources and attend to their child's medical management during the school-day and take care of their child’s diabetes.
 
The ISPAD guideline on the Management and support of children and adolescents with type 1 diabetes in school (see here) is a very important document for each family that begins their long story with education, or for every member of the diabetes team who supports families of school-aged children with type 1 diabetes.
 
The chapter highlights the needs of children and their families, describes every aspect of diabetes care (insulin treatment, nutrition, exercise, hypo- and hyperglycemia) in the school context, advice how to educate school personnel (who, what, how?) and encourages preparation of a diabetes management plan for each child at school. Also, ISPAD highlights the importance of communication and problem-solving and advises that schools should make “reasonable adjustments to facilitate prescribed medical care to allow for children with type 1 diabetes (T1D) to participate in education on the same basis as their peers”. ISPAD believes that with a mutually supportive, collaborative approach between parents and the child's health care team and schools, and with advancements in communication technology, there is a real opportunity for a truly cooperative approach.
 
See more about this challenging topic:
ISPAD Position Statement on Type 1 Diabetes in Schools
 
Check ISPAD online resources:
Supporting students with type 1 diabetes at school is associated with better glycaemic control and other benefits by Peter W Goss
 
Colorado competency framework for diabetes care in schools: preparing a skilled school health workforce by Cari Berget


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© 2019 International Society for Pediatric and Adolescent Diabetes (ISPAD)

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