ISPAD Clinical Practice Consensus Guidelines 2009 Compendium The delivery of ambulatory diabetes care to children and adolescents with diabetes Pediatric Diabetes 2009: 10 (Suppl. 12): 58–70. (E) Expert consensus or clinical experience Children spend 40–50% of their waking hours in school. Diabetes care in school is an important part of their diabetes management plan. The school should never discourage or alter a medical treatment plan that is regarded by the diabetes team to be optimal for the child. The child has the right to receive adult support for diabetes care from school personnel during school hours, outdoor school activities, when at school sponsored events away from school, and should natural disasters occur at school (E). • School personnel must be trained to provide or supervise all diabetes care prescribed by the diabetes team (E) • School personnel must be supportive of providing diabetes care and encourage diabetes management during school hours (E) The treatment required may include • Insulin administration by injection or with an insulin pump. • Testing BG in young children and older newly diagnosed children and adolescents until they are capable of performing the task independently. • Identification and treatment for hypoglycemia, both mild–moderate and severe. |