Type 1 diabetes at school in New Hampshire
What New Hampshire law and the state’s own guidance say about insulin, glucagon, supplies and phones at school, with each source quoted. Checked 2026-10-06.
| Insulin by trained staff | With limits |
| Glucagon by trained staff | With limits |
| Self-carry | Yes |
| State plan or guidelines | No source found |
| Phone for the CGM | Yes |
Can trained school staff give insulin?
With limits
N.H. Code Admin. R. Ed 311.02 lets the school nurse delegate medication administration to others, if appropriate, under the Board of Nursing delegation rules (Nur 404). The rule does not name insulin, and the nurse decides whether to delegate. (gc.nh.gov)
Can trained school staff give glucagon?
With limits
Under RSA 200:40-b, a parent may authorize a school employee to give glucagon in an emergency when no school nurse is immediately available. Employees volunteer and must complete glucagon training. (gc.nh.gov)
Can a student carry supplies and manage diabetes at school?
Yes
N.H. Code Admin. R. Ed 311.02 lets a parent authorize a student to possess and self-administer prescribed medication. No New Hampshire rule specific to diabetes self-management was found. (gc.nh.gov)
Does the state publish a diabetes care plan form or guidelines?
No source found
No New Hampshire Department of Education or Department of Health DMMP form or diabetes guideline was found in a fetchable form. RSA 200:40-b requires the parent to provide a diabetes management plan or physician's order for glucagon. We found no statute or state agency page that answers this for New Hampshire. Ask the school nurse or the state Department of Education, and see the American Diabetes Association’s New Hampshire page.
Can a student keep a phone for the CGM in class?
Yes
RSA 189:1-a, V requires a bell-to-bell school policy on personal devices. Policies may not prohibit students with medical needs, such as insulin pumps and glucose sensors, from using a device as identified in an IEP or Section 504 plan. (gc.nh.gov)
Also in New Hampshire
Under RSA 200:40-b, school staff who give glucagon are immune from civil damages for ordinary negligence, and giving glucagon is not the practice of nursing. (gc.nh.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
- gc.nh.gov: “(d) The school nurse shall only delegate the administration of medications, if appropriate, to others pursuant to RSA 326-B and Nur 404.”
- gc.nh.gov: “(1) Assess the client to ensure the client's condition is stable and predictable pursuant to Nur 101.21;”
- gc.nh.gov: “(1) A parent or legal guardian of any child may authorize a school employee, or person employed on behalf of the school in cases where there is no school nurse immediately available, to administer glucagon to a child in case of an emergency, while at school or a school sponsored activity;”
- gc.nh.gov: “Such personnel shall only be authorized to provide such assistance upon successful completion of glucagon administration training.”
- gc.nh.gov: “3. The student to possess and self-administer the medication”
- gc.nh.gov: “(c) A parent or legal guardian shall provide a diabetes management plan or physician's order, signed by the student's health care provider, that prescribes the care and assistance needed by the student including glucagon administration.”
- gc.nh.gov: “School district and chartered public school policies shall not prohibit students with medical needs, such as insulin pumps and glucose sensors, or disabilities from using a device to support their learning as identified by their individualized education program (IEP), plan developed under Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. section 794”
- gc.nh.gov: “V. The administration of glucagon by school personnel, or those employed on behalf of the school, shall not be considered the practice of nursing.”
- gc.nh.gov: “This immunity shall not apply to acts or omissions constituting gross negligence or willful or wanton conduct.”
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).