School Guide
With the right tools and support, your child can manage type 1 diabetes in the classroom with confidence
Managing Type 1 Diabetes at School
Whether your child is starting a new school year or returning to school after a new diagnosis, managing type 1 diabetes (T1D) in the classroom can be a little intimidating.
School preparedness requires paperwork, special planning, and many conversations with teachers, school nurses, and other students.
Breakthrough T1D is here with support and resources to help you and your child succeed, from preschool through college!

Virtual Town Hall: Returning to School with Diabetes
Our annual virtual Returning to School with Diabetes Town Hall, in partnership with the American Diabetes Association and Sansum Diabetes Research Institute, covered popular topics and practical tips, including 504 plans, emotional support, T1D tech, athletics, and—new this year—nutrition!
Resources for Parents and Caregivers
Helping you and your child navigate the classroom with confidence

Tips to help your child return to school with support and confidence after a type 1 diabetes diagnosis.
The supplies your child needs at school, the information teachers and nurses need to know, and the plans to have in place.
504 Plans help ensure your child with T1D gets the support they need at school. Learn how to advocate for your child and understand their rights.
Help Others Understand Type 1 Diabetes
This educational video helps friends, teachers, and caregivers understand what your child experiences every day so they can feel informed, confident, and ready to provide support.
Packing a Diabetes Supply Kit
For the nurse’s office
Make sure that you have prepared a type 1 diabetes supply kit that stays in the school nurse’s or administrator’s office, and replenish it from time to time. Minimally, the kit should include:
- Insulin stored in the fridge (2–3 day supply in case of emergencies like hurricanes, earthquakes, etc.)
- Syringes or pen needles
- Insulin pump infusion set
- Continuous glucose meter (CGM)
- Glucometer, lancets, and test strips
- Chargers for phone, glucometer, and pump
- Ketone urine testing strips or ketone meter
- Low blood-sugar treatments
- Snacks like crackers or granola bars
- A form of glucagon, the use of which should be reviewed with school personnel
- A brief outline of your child’s insulin regimen and meal plan
For your child’s backpack
If your child is permitted to carry their own supplies with them at school, be sure to pack:
- Cell phone
- Glucometer, lancets, and test strips
- Low blood-sugar treatments
- Shelf-stable snacks like crackers or granola bars
Planning for Sick Days
When living with T1D, having a sick day plan of action is crucial. Learn about the importance of monitoring blood sugar and ketone levels, how medications can affect blood sugar, and get tips for eating and drinking while sick.
Resources for Teachers and Staff
Keeping your students with type 1 diabetes safe at school
Going to College with Type 1 Diabetes
Tips to ensure a smooth transition to living independently with T1D
A little planning before move-in day can help both parents and students feel confident and prepared.
A list of practical tips to help you prepare for college with type 1 diabetes.
A guide on managing T1D when leaving home for the first time, including going to college.
Things to learn and keep in mind when you’re consuming alcohol with type 1 diabetes.

School FAQ
Yes! With the right tools and support from the school, your child attend school safely and confidently. For more information, visit Returning to School After a T1D Diagnosis.
It takes a village to manage a child’s type 1 diabetes at school. From the school nurse and teachers to coaches and classmates, education is key for your child’s success in the classroom. Download our complete School Guide for the tools and resources you need for you and your child to feel confident and supported.
Make sure that you have prepared a T1D supply kit that stays in the school nurse’s or administrator’s office, and replenish it from time to time. If permitted, your child should also carry T1D supplies with them at all times. Learn more about packing a T1D supply kit.
Meet with your school nurse before the start of every school year to review your child’s Diabetes Medical Management Plan and drop off supplies. Establish a communication protocol so that the school nurse knows how and when to contact you, and so you know the best way to reach the nurse during school hours.
A 504 Plan is a legal, written document specifying what “reasonable” modifications and accommodations the school must provide for a student with a disability. 504 Plans are a way for you to hold the school accountable for meeting your child’s needs while in the school’s care. While not required, a 504 Plan is highly recommended for children with type 1 diabetes. Learn more about 504 Plans.




