ADA Issues Position Statement on Diabetes Management in Child Care Setting

(HealthDay News) — Young children with diabetes have unique management needs, which may necessitate special consideration in the child care setting, according to a position statement published in Diabetes Care.

Linda M. Siminerio, RN, PhD, from the University of Pittsburgh Diabetes Institute, and colleagues describe diabetes management recommendations in the child care setting.

The researchers note that young children require a proactive, rather than reactive, diabetes care plan, involving pediatric health care providers, parents/guardians and child care staff.

Challenges in the child care setting include language barriers, ethnic and cultural practices, limited resources and support, health literacy abilities and capabilities, as well as staff turnover and availability.

The key principles for management in the child care setting include that a child care center should not deny admission to a child with diabetes; provision of written care plans to the child care setting; receipt of basic training for all child care staff; and provision of advanced, child-specific training for a small number of staff.

Federal laws provide protection for children with diabetes in the setting of child care; legal action may be necessary in cases of violation of these rights.

“We encourage parents/guardians of young children with diabetes to share this Position Statement with their child care providers,” the researchers wrote.


  1. Siminerio LM et al. Diabetes Care. 2014;37(10):2834-2842.