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Wells Fargo Bank Building
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Bismarck, ND 58501-4071

701.328.2950 · Phone
701.328.3934 · Fax
800.472.2670 · Toll Free
711 · TDD Relay

North Dakota Schools - Medication Administration Issues - Diabetes and Glucagon Injections

Recently there have been questions posed about students receiving needed services to manage their disability-related medication while in school. A student’s educational plan (a 504 Plan or an Individualized Education Plan), together with an individual health plan or Diabetes Medical Management Plan (DMMP), should address medication issues. An individual health plan or DMMP alone will not provide the same protections to students that they would have under a 504 Plan or an IEP.

State legislation does not exempt schools from the legal obligation under federal law to provide related services under Section 504 of the Rehabilitation Act of 1973 or reasonable accommodations under the Americans with Disabilities Act. If you have concerns about the allowed use of Glucagon, EpiPens, or the administration of other medications in schools, call the Protection and Advocacy Project at 1-800-328-2950 or 701-328-3950 (711 TDD relay service).

Glucagon Administration
Schools are required to have a plan to administer glucagon to an individual student who may need this on an emergency basis. The plan should be included in a 504 Plan or IEP. If glucagon is needed, the medication should be administered immediately AND 911 should be called. Lack of immediate action, such as delaying administering medication while waiting for a response from an ambulance, can cause delays that could be life threatening for students.

Glucagon is safely administered by intramuscular or subcutaneous injection. It is appropriate for a severe hypoglycemic emergency. One manufacturer (Eli Lilly and Company) supplies it only in a glucagon emergency kit.


Living with Diabetes – At School
American Diabetes Association: Safe At School
Phone: 1-800-342-2383 (Monday - Friday 7:30 a.m. to 7:00 p.m. CT

Diabetes Education, including training on glucagon injections, may be provided by school nurses, staff from a student’s medical management team, diabetes educators, and public health nurses. Parents are encouraged to work with their medical treatment team and the school regarding this issue.

The Dakota Diabetes Coalition provides assistance and information about persons that can provide training.
Contact person: Tera Miller 328-2698 or teramiller@nd.gov

Diabetes Care Tasks at School: What Key Personnel Need to Know (Access link in right side bar)
An online curriculum by the American Diabetes Assocation.

Helping the Student with Diabetes Succeed: A Guide for School Personnel
A publication of the National Diabetes Education Program.

ND School Health Guidelines, Diabetes, p. 97-106 [on-line screens 101-110]
A publication of the National Diabetes Education Program.

Educational Plans
504 Plans: A Guide for Parents
An article in Diabetes Forecast – The Healthy Living Magazine, August 2013 issue.

Sample Diabetes Medical Management Plan / Sample Template for an Individualized Health Care plan / Sample Emergency Care Plan for Hypoglycemia and Hyperglycemia.
Tools published by the National Diabetes Education Program in Helping the Student with Diabetes Succeed: A Guide for School Personnel above.

Section 504 - Guidelines for Parents and Educators
A publication of the North Dakota Department of Public Instruction.

Legal Rights
Diabetes and Section 504 Eligibility for 504 Coordinators
A publication of the American Diabetes Association.

Protecting Students with Disabilities - Frequently Asked Questions about Section 504 and the Education of Children with Disabilities
A publication of the U.S. Department of Education, Office for Civil Rights.

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