School Nursing Evidence-Based Clinical Practice Guideline - Students with Type I Diabetes

Sep 27, 2026

Uploaded by Cipher

School Nursing Evidence-Based Clinical Practice Guideline: Students with Type I Diabetes outlines clinical rationale and foundational background for supporting students from prekindergarten through 12th grade with type 1 diabetes. It explains diabetes categories, emphasizes that the guideline focuses specifically on type 1 due to distinct pathophysiology, and describes autoimmune beta-cell destruction leading to insulin deficiency. The guideline notes that individuals require timely exogenous insulin and discusses diabetes-related risk from elevated blood glucose and contributing environmental and genetic factors.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages109

Reading Time4 h 35 min

AccessFree to download

Rationale

Diabetes categories and scope of the guideline

Type 1 diabetes pathophysiology and insulin needs

School Nursing Evidence-Based Clinical Practice Guideline: Students with Type I Diabetes [nasn.org](nasn.org) School Nursing Evidence-Based Clinical Practice Guideline: Students with Type I Diabetes Authors Lori Wilt, PhD, RN, NJ-CSN, CNE Assistant Professor Seton Hall University Nutley, NJ Beth Jameson, PhD, RN, NJ-CSN Assistant Professor Seton Hall University Nutley, NJ NASN Lead Erin D. Maughan, PhD, RN, PHNA-BC, FNASN, FAAN Director of Research Silver Spring, MD NASN would like to thank the following reviewers for their valuable contributions to the Clinical Practice Guideline: Anna Barash, BSN, RN, CDCES Research Nurse, Benaroya Research Institute Seattle, WA Nakia Best, PhD, RN Assistant Professor, University of California, Irvine Irvine, CA Rosemary Briars, ND, PNP-BC, CDCES JDRF Clinical Program Director, La Ribida Children’s Hospital Chicago, IL Marilyn Clougherty, MSN, RN, CDCES Safe at School Working Group, American Diabetes Association Tandem Diabetes Care* Dunblane, CT Carla E. Cox, PhD Association of Diabetes Care & Education Specialists Kamas, UT Cheryl De Pinto, MD, MPH, FAAP Council of School Health, American Academy of Pediatrics Baltimore, MD 2 | School Nursing Evidence-Based Clinical Practice Guideline: Students with Type I Diabetes © 2021 Emily Frank, MD Council of School Health, American Academy of Pediatrics Oakland CA Tara Kaup, MSN, RN, NCSN, CDCES Licensed School Nurse, Saint Paul Public Schools St Paul, MN Terri Lipman, PhD, CRNP, FAAN Assistant Dean for Community Engagement Miriam Stirl Endowed Term Professor of Nutrition Professor of Nursing of Children University of Pennsylvania Philadelphia, PA Ellen McCabe, PhD, PNP-BC, RN Assistant Professor, The City University of New York New York, NY Cynthia E. Muñoz, PhD, MPH Safe at School Working Group, American Diabetes Association Los Angeles, CA Margaret Pellizzari, MBA, MS, RN, CDCES, CDTC, FADCES Association of Diabetes Care & Education Specialists New Hyde Park, NY Janet Rodriguez, BSN, RN, CDCES, CRA-USF/Advanced Council of School Health, American Academy of Pediatrics Tampa, FL Carol Schaumleffel, DNP, RN, LSN Assistant Professor, Ohio University Athens, OH Leslie N. Timperman, BSN, RN School Nurse, Rochambeau The French International School Bethesda, MD DianneWeisner, MSN, APRN, CNP, CNS, CDCES, CPN Program Education Coordinator Diabetes, Akron Children’s Hospital Mahoning Valley Boardman, OH Crystal Woodward, MPS Staff Lead, Safe at School Working Group, American Diabetes Association Arlington, VA Leah Wyckoff, MS, BSN, RN, NCSN Pediatric Diabetes Nurse Educator, Barbara Davis Center for Childhood Diabetes Parker, CO *Reviewer disclosed stock in diabetes technology. She reviewed the document in her role as a member of ADA’s Safe at School Working Group. 3 | School Nursing Evidence-Based Clinical Practice Guideline: Students with Type I Diabetes © 2021 NASN would like to thank the following clinical guideline expert reviewers for their valuable contributions to the Clinical Practice Guideline: Martha Engelke, PhD, RN, CNE, FAAN Emeritus Professor, East Carolina University Greenville, NC RobinA. Shannon, DNP, RN, NCSN, PHNA-BC Clinical Assistant Professor, University of Illinois Chicago Chicago, IL Susan K. Malone, PhD, RN Assistant Professor, New York University, Rory Meyers College of Nursing New York City, NY Mayumi Willgerodt, PhD, MPH, RN Associate Professor, University of Washington Seattle, WA Suggested citation: National Association of School Nurses. (2021). School nursing evidence-based clinical practice guideline: Students with type I diabetes. All evidence-based clinical guidelines from the National Association of School Nurses automatically expire five years after publication unless reaffirmed, revised, or retired at or before that time. Copyright 2021 by the National Association of School Nurses (NASN

FAQs

Why does the guideline focus only on students with Type 1 Diabetes?

It focuses on type 1 diabetes because, while there is some overlap in care and treatment modalities, the pathophysiology differs across diabetes types. Therefore, the Clinical Practice Guideline (CPG) targets students with T1D.

What is the underlying problem in type 1 diabetes described in the guideline?

The immune system attacks pancreatic beta cells where insulin is produced, usually resulting in complete insulin deficiency. This leads individuals with T1D to require exogenous insulin.

How is diabetes risk related to elevated blood glucose in the guideline?

The guideline states that diabetes results in increased blood glucose levels, which creates risk for microvascular and macrovascular complications.

Sep 27, 2026

Uploaded by Cipher