Improving School Nurse Confidence With Continuous Glucose Monitoring Technology

Continuous glucose monitoring (CGM) offers reliable glycemic measurements and improved health outcomes for pediatric patients with type 1 diabetes. With CGM use becoming the new pediatric standard of care for type 1 diabetes management, it is increasingly common for children with diabetes to arrive in school wearing CGM devices. School nurses' lack of familiarity with this new technology can lead to dangerous methods of assessment, interpretation, and treatment of sensor glucose results. An evidence-based, standardized CGM protocol and educational module were developed to increase confidence among school nurses in providing accurate and safe treatment decisions for students with type 1 diabetes. This project highlights the potential of a standardized assessment tool for school nurses to increase their confidence in caring for students with CGMs at school, informing future integration of CGM training into clinical practice guidelines.