Type 1 diabetes at school in North Dakota
What North Dakota 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 | Yes |
| Glucagon by trained staff | With limits |
| Self-carry | Yes |
| State plan or guidelines | Yes |
| Phone for the CGM | Yes |
Can trained school staff give insulin?
Yes
The North Dakota Board of Nursing says a licensed nurse may delegate an insulin injection for a stable student with specific parameters, through nurse delegation under N.D. Admin. Code 54-07-08. The staff member must be on the Unlicensed Assistive Person registry. (ndbon.org)
Can trained school staff give glucagon?
With limits
The Board of Nursing says school personnel could give a glucagon injection in an emergency, under the emergency exemption in N.D. Cent. Code § 43-12.1-04(1). (ndbon.org)
Can a student carry supplies and manage diabetes at school?
Yes
The state school health guidelines say a student who self-administers medication may keep it and handle it. A Safe at School summary posted by North Dakota Health and Human Services says capable students may self-manage at school. No statute was found. (hhs.nd.gov (PDF))
Does the state publish a diabetes care plan form or guidelines?
Yes
North Dakota Health and Human Services publishes sample plans that include a Diabetes Medical Management Plan, and its school health guidelines have a diabetes section. (hhs.nd.gov (PDF))
Can a student keep a phone for the CGM in class?
Yes
House Bill 1160 (2025), a new section in N.D. Cent. Code ch. 15.1-07, restricts personal electronic devices during instructional time. A school may not prohibit a device that a licensed medical provider finds necessary for the student's health, and medical devices are outside the definition. (ndlegis.gov (PDF))
Also in North Dakota
North Dakota Health and Human Services' self-management summary (SAS_Tenates_ND.pdf) is labeled as coming from the American Diabetes Association. (hhs.nd.gov (PDF))
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
- ndbon.org: “Can school staff administer an insulin injection? If a diabetic student is stable and has specific parameters, an insulin injection may be delegated by the licensed nurse using the rules for specific delegation.” (the site blocks automated checks; checked by hand)
- ndbon.org: “The individual to whom the nurse delegates must be registered on the Unlicensed Assistive Person registry, or another registry recognized by the board.” (the site blocks automated checks; checked by hand)
- ndbon.org: “In an emergency, school personnel could administer a Glucagon® injection and Diastat® gel according to Nurse Practices Act exemption found in NDCC 43-12.1-04(1).” (the site blocks automated checks; checked by hand)
- hhs.nd.gov (PDF): “In the case of self-administered medication, the student may keep the medication and be responsible for the proper handling of the medication and administration.”
- hhs.nd.gov (PDF): “Students able to are allowed to self manage at school - YES!”
- hhs.nd.gov (PDF): “Diabetes Medical Management Plan (DMMP) This plan should be completed by the student's personal diabetes health care team, including the parents/guardian.”
- hhs.nd.gov (PDF): “Written plans are recommended to ensure appropriate diabetes management in the school setting.”
- ndlegis.gov (PDF): “3. Notwithstanding subsection 2, a school may not prohibit a student from possessing or using a personal electronic communication device, if: a. A medical provider licensed under title 43 determines the possession or use of a personal electronic communication device is necessary for the health or well-being of the student;”
- ndlegis.gov (PDF): “(2) Portable devices that meet the definition of a medical device under the federal Food, Drug and Cosmetic Act”
- hhs.nd.gov (PDF): “From the American Diabetes Association Subject: Safety for Students with Diabetes in North Dakota Schools!”
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).