The following was included in TCTA's 2019-20 Survival Guide, the ultimate reference tool for Texas educators, and is current as of September 2019 but is subject to change.

Each student with diabetes must have a diabetes management and treatment plan developed by the parent and the student’s doctor. Principals of schools with students with diabetes must seek out school employees (other than health care professionals) to serve as unlicensed diabetes care assistants. A principal must attempt to ensure that the school has at least one unlicensed assistant if it employs a full-time nurse; if it has no full-time nurse, the school must have at least three unlicensed assistants. School employees may not be penalized or disciplined for refusing to serve as diabetes care assistants.

The assistants are trained by a health care professional on: recognizing symptoms, understanding proper actions to take, understanding the details of the student’s health plan, performing finger-sticks and checking urine ketone levels, administering glucagon and insulin, recognizing complications requiring emergency care, and understanding recommended schedules and food intake. Before an assistant is allowed to help a child, the parent must sign an agreement, which states that the parent understands that an unlicensed assistant is not liable for civil damages. Schools must allow students to self-check and self-medicate in accordance with the student’s health plan. TCTA added language to this law to avoid the creation of potential liability for school employees.

See also:

Nutrition Policy

Student Health and Wellness