T1D at School: Provincial Policies for Students with Diabetes at School (Canada)
D-Mom, M.S. (Psychology)
Education is the responsibility not of the federal, but of the provincial governments in Canada. As a result, policies and procedures to protect the safety, long term health, education and rights of students with diabetes vary widely from province to province.
The Canadian Pediatric Society’s 2016 status report Are We Doing Enough? evaluates public policies affecting children and youth in Canada. In the section on Management of Type 1 Diabetes in School, they assessed all 13 provinces and territories on how they support students with managing T1D at school, from Poor to Fair to Good. (No one earned an Excellent rating.)
Diabetes@School, a website by the the Canadian Paediatric Society in partnership with the Canadian Paediatric Endocrine Group and Diabetes Canada, provides information on the provinces that received Fair or Good ratings, indicating that they have at least some policies or guidelines in place for students with type 1 diabetes…
Canadian Provinces with Existing Policies
Currently, seven provinces have policies or guidelines that specifically address type 1 diabetes in the school setting.1
- British Columbia:
- New Brunswick:
A Handbook for Type 1 Diabetes Management in Schools (2008)
- Newfoundland and Labrador:
Guidelines for Diabetes Management in Schools (2014)
- Nova Scotia:
Guidelines for Supporting Students with Type 1 Diabetes (and Other Diabetes Requiring Insulin) in Schools(2010)
Supporting Children and Students with Prevalent Medical Conditions (Anaphylaxis, Asthma, Diabetes, and/or Epilepsy) in Schools (2017)
School intervention protocol for students with type 1 diabetes (2012)
- Prince Edward Island:
Guidelines for Diabetes Management in Schools (2018)
For details on each province’s policies or guidelines, via links to the official documents, check out Diabetes@School’s Provincial Policies on Diabetes at School.
Resources for Parents to Work with School Staff
The following resources provide guidance to parents on how to work effectively with school staff in developing and implementing a Care Plan, getting school staff up-to-speed on diabetes: what it is and how best to keep your child safe and protect their long term health while at school.
Other Waltzing the Dragon pages:
Diabetes at School: Overview
Roles and Responsibilities for School Care of Diabetes
Training School Staff to Support a Student with Diabetes Writing a Diabetes Care Plan
Implementing a Diabetes Care Plan
Alberta Children’s Hospital Diabetes Clinic: Back to School Tips: Your Child Has Diabetes
Student Care Plan (ACH Diabetes Clinic) – Injections
Student Care Plan (DiabetesAtSchool.ca) – Injections or Pumps
Videos to watch with or share with school staff: DiabetesAtSchool.ca Video Series
A Letter for School Staff from the Alberta Children’s Hospital Diabetes Clinic
International Diabetes Federation (IDF) Kids and Diabetes in Schools: Info Pack for Teachers, Parents, and Students
Who else is working for change?
The Sir Frederick Banting Legacy Foundation has also released a report on In-School Support for Students Living with Diabetes: Status and Recommendations (Canada) including comparisons with Australia, United Kingdom, United States (September, 2018), which provides more detail on how students are supported, province by province, across Canada. They constructed the report by contacting each province and territory at the Cabinet level to collect information on the scope of diabetes care at school (number of students, number of schools, how many schools had adopted provincial policies or guidelines), the existence of current policies and guidelines (or plans to develop the same) in each province.
They summarized the essential findings, including:
- In-school support programs are essential
- Standards are Essential
- School Level Programs Bring Added Benefits
- Creating a standard policy or guideline is an essential first step but does not guarantee action.
- Reasons for the relatively slow pace of standard, statutory policy creation
- Reasons why achieving universal in-school support is difficult
- Existing Advocacy Efforts
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