Tools For Effective Diabetes Management

This section contains examples of three important tools for helping schools implement effective diabetes management—a sample Diabetes Medical Management Plan, a sample template for an Individualized Health Care Plan, and sample Emergency Care Plans for Hypoglycemia and Hyperglycemia.

  • The Diabetes Medical Management Plan (DMMP) is completed by the student’s personal diabetes health care team and contains the medical orders that are the basis for the student’s health care and education plans.
  • The Individualized Health Care Plan (IHP) is prepared by the school nurse and contains the strategies for implementing the medical orders in the DMMP in the school setting.
  • The Emergency Care Plans for Hypoglycemia and Hyperglycemia, based on the DMMP, summarize how to recognize and treat hypoglycemia and hyperglycemia and whom to contact for help. The school nurse will coordinate development of these plans. Emergency Care Plans for Hypoglycemia and Hyperglycemia should be completed for each student with diabetes and should be copied and distributed to all school personnel who have responsibility for students with diabetes during the school day and during school-sponsored activities. Provide completed copies to the parents/guardians as well.

How to Use the Tools for Effective Diabetes Management

  • The parents/guardians should give the sample Diabetes Medical Management Plan (DMMP) to the student’s personal diabetes health care team as a resource for preparing the medical orders.
  • The student’s personal diabetes health care team should fill out the plan, sign it, review it with the parents/guardians and the student, and return it to the school nurse before the student with diabetes returns to school after diagnosis or when the student transfers to a new school.
  • The student’s personal diabetes health care team should review and update the DMMP at the beginning of each school year; upon a change in the student’s prescribed care regimen, level of self-management, or school circumstances (e.g., a change in schedule); or at the request of the student or parents/guardians or the school nurse.
  • The school nurse should prepare the Individualized Health Care Plan (IHP) based on the medical orders in the DMMP and review it with the parents/guardians and the student.
  • The school nurse should adapt the sample Emergency Care Plans for Hypoglycemia and Hyperglycemia to meet the needs of individual students, as prescribed in the student’s DMMP.
  • The Emergency Care Plans for Hypoglycemia and Hyperglycemia should be copied and distributed to all regular and substitute personnel who have responsibility for the student with diabetes during the school day and during school-sponsored activities. Consider laminating these plans for use throughout the school year. Provide copies to the parents/guardians.
  • During all levels of training, information in the Emergency Care Plans for Hypoglycemia and Hyperglycemia, how to respond, and whom to contact for help in an emergency should be reviewed with school personnel.