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Adherence to Guidelines for Diabetes Care in School: Family and School Nurse Perspectives

To ensure the safe and fair treatment of children with diabetes, the American Diabetes Association (ADA) publishes guidelines for care of children with diabetes in the school setting (1–4). We surveyed 99 families of youth with type 1 diabetes (mean age 12.2 ± 3.2 years; diabetes duration 5.0 ± 3.6 years) and 51 school nurses from corresponding schools in Ohio using structured questionnaires to systematically evaluate reported adherence to these guidelines from the perspectives of key stakeholders. This study has institutional review board approval. Sixteen key ADA recommendations, taking into account guidelines with multiple components, were assessed. For 7 of the 16 ADA recommendations, fewer than half of families reported adherence, defined as providing the service usually or always. Among school nurses, fewer than half reported …