Health Care

Ensuring Inclusion and Support for Students with Diabetes

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Federal law states that students with diabetes cannot legally be excluded from educational opportunities. Schools sometimes need help understanding how to accommodate the needs of these students. The "504 Plan" ensures that students with diabetes receive fair treatment, equal access to education, and appropriate medical support while in school.

What is a 504 Plan? A 504 Plan is a personalized plan designed to fulfill the requirements of Section 504 of the Rehabilitation Act of 1973, a federal law prohibiting discrimination against individuals with disabilities. This plan outlines the steps that a school will take to safeguard the health and education of students with diabetes. It aims to ensure their medical safety, equal educational access, and fair treatment within the school environment.

Importance of a 504 Plan: The 504 Plan serves as a tool to clarify the responsibilities of students, parents/guardians, and school staff, minimizing misunderstandings. It establishes a framework for providing necessary medical care, accommodations, and modifications. This plan emphasizes the significance of proper training for school staff in recognizing and responding to hypoglycemia and hyperglycemia, as outlined in the student's Diabetes Medical Management Plan.

Tailoring the Plan: It's essential to customize the plan according to each student's unique needs, abilities, and medical condition. The plan should only include provisions relevant to the individual child. For instance, a high school student might require provisions related to self-management during exams, whereas a kindergartener might not need the same provisions.

Key Provisions of 504 Plans:

1. Training for Staff: Multiple staff members are trained to check blood glucose levels, administer insulin and glucagon, and respond appropriately to glucose fluctuations.

2. Awareness Among Staff: All school staff who interact regularly with the student are trained to recognize high and low blood glucose levels and to respond effectively.

3. Self-Management: Capable students are allowed to self-manage their diabetes anywhere and keep their necessary supplies with them.

4. Classroom Assistance: Students receive needed assistance in the classroom to enhance safety and minimize missed class time.

5. Participation in Activities: Students can fully participate in sports, extracurricular activities, and field trips with the required diabetes care assistance or supervision provided.

6. Eating Arrangements: Students can eat whenever and wherever necessary, including having enough time to finish lunch.

7. Bathroom and Water Access: Students can take additional trips to the bathroom or water fountain as needed.

8. Medical Appointments: Students have permission for extra absences due to medical appointments and sick days without academic penalties.

9. Addressing Missed Classroom Time: Alternate arrangements are made for missed classroom time due to medical appointments, high or low blood glucose periods, or diabetes-related illnesses.


Customization and Accommodation: Some school districts may opt to use their own 504 Plan forms, which is acceptable as long as the content effectively addresses all diabetes care needs. Remember, the content is the primary consideration, ensuring the plan meets the student's specific requirements.

The 504 Plan serves as a critical tool to guarantee the inclusion, safety, and equal educational opportunities for students with diabetes. Promoting awareness, understanding, and collaboration enables students to thrive within the educational setting while effectively managing their diabetes.

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