Type 1 diabetes in youth is common and often difficult to manage due to developmental, psychosocial, and social determinant–related challenges, leading to poor glycemic control and serious health risks. Adolescents require support that extends beyond clinic visits, making collaboration between healthcare providers, especially APRNs and school nurses, essential. The case study of JT illustrates how consistent communication and coordinated care across school, home, and clinical settings can identify barriers, improve safety, and stabilize glycemic and mental health outcomes. Strengthening APRN–school nurse partnerships and integrating school-based care into standard practice can enhance long-term management and quality of life for youth with T1DM.
American Diabetes Association. (2020). 13. Children and adolescents: Standards of medical care in diabetes—2020. Diabetes Care, 43(Suppl. 1), S163–S182.
2.
BisnoD. I.ReidM. W.FogelJ. L.PyatakE. A.MajidiS.RaymondJ. K. (2022). Virtual group appointments reduce distress and improve care management in young adults with type 1 diabetes. Journal of Diabetes Science and Technology, 16(6), 1419–1427.
ChiangJ. L.MaahsD. M.GarveyK. C.HoodK. K.LaffelL. M.WeinzimerS. A.WolfsdorfJ. I.SchatzD. (2018). Type 1 diabetes in children and adolescents: A position statement by the American Diabetes Association. Diabetes Care, 41(9), 2026–2044. https://doi.org/10.2337/dci18-0023
5.
EriksonE. H. (1950). Childhood and society. Norton.
6.
FosterN. C.BeckR. W.MillerK. M.ClementsM. A.RickelsM. R.DiMeglioL. A.MaahsD.M.TamborlaneW. V.BergenstalR.SmithE.OlsonB. A.GargS. K. (2019). State of type 1 diabetes management and outcomes from the T1D Exchange in 2016–2018. Diabetes Technology & Therapeutics, 21(2), 66–72. https://doi.org/10.1089/dia.2018.0384
7.
FritzenT. M.WeinertL. S.DenkI. B.DeuschleJ. A. S.ConteI.MenegollaM. P.RodriguesT. D. C. (2021). Psychiatric illness, emotional distress, glycemic control and chronic complications in type 1 diabetes subjects. Archives of Endocrinology and Metabolism, 65(6), 684–694.
8.
GiwaA. M.AhmedR.OmidianZ.MajetyN.KarakusK. E.OmerS. M.DonnerT.HamadA. R. A. (2020). Current understandings of the pathogenesis of type 1 diabetes: Genetics to environment. World Journal of Diabetes, 11(1), 13–25. https://doi.org/10.4239/wjd.v11.i1.13
LipmanT. H.HawkesC. P. (2021). Racial and socioeconomic disparities in pediatric type 1 diabetes: Time for a paradigm shift in approach. Diabetes Care, 44(1), 14–16. https://doi.org/10.2337/dci20-0048
11.
MencherS. R.WeinzimerS. A.NallyL. M.Van NameM.Nunez-SmithM.SadlerL. S. (2022). Technology utilization in black adolescents with type 1 diabetes: Exploring the decision-making process. Diabetes Technology & Therapeutics, 24(4), 249–257. https://doi.org/10.1089/dia.2021.0413
12.
National Association of School Nurses (NASN). (2024). A contemporary framework update for today’s school nursing landscape: Introducing theSchool Nurse Pactice Framework. NASN School Nurse, 39(3), 140–147. https://www.doi.org/10.1177/1942602X241241092
13.
Office of Disease Prevention and Health Promotion. (n.d.). Healthy people 2030. U.S. Department of Health and Human Services. https://health.gov/healthypeople
14.
SperlingM. A.LaffelL. M. (2022). Current management of glycemia in children with type 1 diabetes mellitus. New England Journal of Medicine, 386(12), 1155–1164.
15.
WildS.RoglicG.GreenA.SicreeR.KingH. (2004) Global prevalence of diabetes: Estimates from 2000 and projections for 2030. Diabetes Care, 27(5), 1047–1053.
16.
WilliS. M.MillerK. M.DiMeglioL. A.KlingensmithG. J.SimmonsJ. H.TamborlaneW. V.T1D Exchange Clinic Network. (2015). Racial-ethnic disparities in management and outcomes among children with type 1 diabetes. Pediatrics, 135(3), 424–434.
