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Type 1 diabetes accounts for 5 to 10 percent of all diagnosed cases of diabetes and is the most common chronic disease of childhood, exceeded only by asthma. Because most children and adolescents spend the majority of their waking hours in a school setting, having trained school personnel on-site to assist with their daily diabetes management regimen is a high priority. However, this presents a challenge in that there is a national shortage of school nurses in the United States. This deficiency is of great public health significance because the lack of assistance in the school setting makes it more challenging for children with type 1 diabetes to achieve optimal management for their disease. The purpose of this thesis is to describe the needs of a child with diabetes, review issues that relate to their safety in the school setting, and propose a set of recommendations for schools to consider in order to provide care. Examination of whether school nurses have the appropriate knowledge in order to appropriately care for a child with type 1 diabetes will also be addressed. Finally, in light of the national school nurse shortage, this study will explore whether other school personnel can be trained to provide support to these children during the school day.