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Improving students' diabetes management through school-based diabetes care.
Beverly Faro1, Gail Ingersoll, Heather Fiore
1University of Rochester School of Nursing, Rochester, New York 14642, USA. Beverly_Faro@urmc.rochester.edu
Summary
School-based diabetes care visits improved management for high-risk youth, increasing monitoring and insulin adjustments. While not statistically significant, the program was well-received and feasible within the school setting.
Area of Science:
- Pediatric Endocrinology
- School Health Programs
- Diabetes Management
Background:
- Diabetes management in high-risk youth presents unique challenges.
- Integrating care within the school environment can improve accessibility.
Purpose of the Study:
- To assess the feasibility and impact of periodic diabetes care visits conducted in schools.
- To promote optimal diabetes management among high-risk youth.
Main Methods:
- A pilot study involving 27 students with diabetes from a university-affiliated center.
- Intervention delivered through school-based diabetes care visits.
- Evaluated using parent surveys, self-efficacy tools, and provider assessments.
Main Results:
- Increased frequency of diabetes care visits, insulin adjustments, and blood glucose monitoring.
- Doubled the percentage of students receiving insulin at school.
- Positive program reception, though glycemic control and self-efficacy changes were not statistically significant.
Conclusions:
- School-based diabetes care visits are feasible and do not disrupt education.
- These visits enhance diabetes management practices at home and school.
- School nurse confidence and knowledge improved via role-modeling.