What written care plans should my child with diabetes have at school?

Creating a plan for how diabetes will be managed at school should be a team effort that includes school staff, families, and health care providers. It is vitally important that the work of this team is documented in written plans.

The Diabetes Medical Management Plan (DMMP) or physician's order is the foundation for the development of all school-based care plans. The DMMP is the medical basis for an Individualized Health Plan (IHP), written by the school nurse, which specifies what, where, when, and by whom diabetes care tasks will be provided in school.

The IHP documents how care should be provided, but does not provide legal protections for either schools, students, or families. Accordingly, the American Diabetes Association recommends that all students with diabetes have either a Section 504 Accommodations Plan or an Individualized Education Plan (IEP), depending on eligibility.

Both 504 plans and IEPs provide protections and services under federal disability laws, and can address both medical and educational issues. The accommodations and services that are detailed in a 504 accommodations plan or IEP, are those that are needed to ensure that diabetes does not become a barrier to educational opportunities.

Continue Learning about Diabetes


Diabetes mellitus (MEL-ih-tus), often referred to as diabetes, is characterized by high blood glucose (sugar) levels that result from the body’s inability to produce enough insulin and/or effectively utilize the insulin. Diabetes ...

is a serious, life-long condition and the sixth leading cause of death in the United States. Diabetes is a disorder of metabolism (the body's way of digesting food and converting it into energy). There are three forms of diabetes. Type 1 diabetes is an autoimmune disease that accounts for five- to 10-percent of all diagnosed cases of diabetes. Type 2 diabetes may account for 90- to 95-percent of all diagnosed cases. The third type of diabetes occurs in pregnancy and is referred to as gestational diabetes. Left untreated, gestational diabetes can cause health issues for pregnant women and their babies. People with diabetes can take preventive steps to control this disease and decrease the risk of further complications.

Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.