Diabetes at school, by state

Type 1 diabetes at school in Missouri

What Missouri law and the state’s own guidance say about insulin, glucagon, supplies and phones at school, with each source quoted. Checked 2026-10-06.

Can trained school staff give insulin?

With limits

A district or charter school may choose to provide diabetes care, and then the school nurse or, in the school nurse's absence, trained diabetes care personnel may give insulin under the student's DMMP (Mo. Rev. Stat. § 167.809). Trained diabetes personnel are volunteers who need not be health care professionals (5 CSR 20-200.300). (revisor.mo.gov; sos.mo.gov (PDF))

The American Diabetes Association’s Missouri page reads this differently: ADA answers yes; the statute lets trained personnel act in the absence of the school nurse and makes the program optional for each district.

Can trained school staff give glucagon?

With limits

Under the same optional program, the school nurse or, in the school nurse's absence, trained diabetes care personnel may give glucagon and other prescribed emergency treatments (Mo. Rev. Stat. § 167.809). (revisor.mo.gov)

The American Diabetes Association’s Missouri page reads this differently: ADA answers yes; the statute lets trained personnel act in the absence of the school nurse and makes the program optional for each district.

Can a student carry supplies and manage diabetes at school?

Yes

On written parent request and DMMP authorization, a student may check blood glucose, give insulin, treat lows and highs in the classroom, anywhere on school grounds, and at any school activity, and may carry all needed supplies at all times (Mo. Rev. Stat. § 167.818). (revisor.mo.gov)

Does the state publish a diabetes care plan form or guidelines?

Yes

The Department of Elementary and Secondary Education rule 5 CSR 20-200.300 sets the diabetes training guidelines and the DMMP and individualized health plan process. Parents should submit a DMMP, which the school must review (Mo. Rev. Stat. § 167.806). No state DMMP form was found. (sos.mo.gov (PDF); revisor.mo.gov)

Can a student keep a phone for the CGM in class?

Yes

Each district and charter school must have a policy that bans student device use during the school day, with exceptions where use is needed to comply with an IEP, a 504 plan, or an individualized health care plan or emergency health care plan (Mo. Rev. Stat. § 162.207, from SB 68 of 2025). The statute does not name diabetes or CGM. (revisor.mo.gov)

Also in Missouri

Missouri HB 675 (2013). A school that adopts the state diabetes training guidelines must train at least three school employees at each school a student with diabetes attends (Mo. Rev. Stat. § 167.803). (revisor.mo.gov; dese.mo.gov)

Federal law applies in every state

Section 504 and the Americans with Disabilities Act can cover a student with diabetes at a public school in every state, whatever the state law says; a 504 plan is where the student’s care at school is written down. The federal rules, with sources.

Sources, quoted

• revisor.mo.gov: “In accordance with the request of the parent or guardian of a student with diabetes and the student's diabetes medical management plan, the school nurse or, in the absence of the school nurse, trained diabetes care personnel may perform diabetes care functions including, but not limited to:”
• revisor.mo.gov: “(4) Administering insulin or assisting a student in administering insulin through the insulin delivery system the student uses;”
• sos.mo.gov (PDF): “(G) Trained diabetes personnel-a school employee who volunteers to be trained in accordance with this rule. Such employee need not be a health care professional.”
• revisor.mo.gov: “(3) Administering glucagon and other emergency treatments as prescribed;”
• revisor.mo.gov: “Upon written request of the parent or guardian and authorization by the student's diabetes medical management plan, a student with diabetes shall be permitted to perform blood glucose checks, administer insulin through the insulin delivery system the student uses, treat hypoglycemia and hyperglycemia, and otherwise attend to the care and management of his or her diabetes in the classroom, in any area of the school or school grounds, and at any school-related activity, and to possess on his or her person at all times all necessary supplies and equipment to perform these monitoring and treatment functions.”
• sos.mo.gov (PDF): “The individualized health plan (IHP) implements the Diabetes Medical Management Plan (DMMP) provided by the healthcare provider, physician orders and provisions appropriate to each student's needs during the school day and for other school-related activities.”
• revisor.mo.gov: “The parent or guardian of each student with diabetes who seeks diabetes care while at school should submit to the school a diabetes medical management plan, which upon receipt shall be reviewed by the school.”
• revisor.mo.gov: “each school district and charter school governing board shall adopt a written policy governing a student's possession or use of an electronic personal communications device.”
• revisor.mo.gov: “Provide exceptions to the prohibition that allow the display and use of an electronic personal communications device by a student when such display and use is necessary for compliance with any of the following:”
• revisor.mo.gov: “c. An individualized emergency health care plan or an individualized health care plan established under section 167.625 ;”
• revisor.mo.gov: “it shall ensure * that the training outlined in subsection 1 of this section is provided to a minimum of three school employees at each school attended by a student with diabetes.”
• dese.mo.gov: “House Bill 675, passed and signed into law in 2013, provides an opportunity for Missouri public schools to train staff to assist in the care of students with diabetes while at school.”

Legal information, not legal advice. Laws change; the source page is the authority when it differs, and this page is rechecked each July. For help with a school, the American Diabetes Association’s legal advocates answer at 1-800-DIABETES (1-800-342-2383).