Diabetes Care at School
It is important that parents of students with diabetes communicate fully with the school nurse about the student’s needs. If possible, plan to meet with the nurse prior to the beginning of the school year or before the first day of attendance for students who start later in the school year.

The Midlothian ISD requires the following forms be signed by the parent/guardian for all students seeking diabetes care while at school: (all forms are linked below)

  1. Diabetes Medical Management Plan signed by the student’s physician (may be the MISD form or similar form from the physician or Diabetes Clinic).
  2. Medication Authorization Forms for use of insulin, glucagon, glucose tablets/gels, etc.
  3. Quick Reference Emergency Plan (QREP) Hypoglycemia/Hyperglycemia. Completed by the school nurse and the student’s parent/guardian, this form will be provided to district employees who are responsible for providing transportation for, or supervision of the student. The QREP identifies the student with diabetes, the potential emergencies that may occur and provides the telephone numbers of contact persons in case of an emergency.
  4. Insulin Pump Physician Orders for students using an insulin pump.

A student’s parent/guardian is required to provide all necessary supplies/food for the student with diabetes.

Role of Unlicensed Diabetes Care Assistant (UDCA)
House Bill No. 984 (Care of the Student with Diabetes) enacted in 2005, specifies that each school train one (1) unlicensed diabetes care assistant (UDCA), if a full-time nurse is assigned to the school. In order to protect the safety and health of students, the Midlothian ISD has chosen to have a minimum of two (2) UDCAs trained at each campus, in addition to the nurse. Training of the UDCAs is provided under the supervision of a Registered Nurse with expertise in the care of persons with diabetes. The UDCAs will provide diabetes management and care services, if the nurse is unavailable. Such services include, but are not limited to, the administration of insulin, or in an emergency, the administration of glucagon.

Diabetes Medical Management Plan