This conference will be focused on diabetes mellitus management in the school setting. Diabetes is among the most common chronic conditions of childhood, with the vast majority of cases in the US being type 1 diabetes. Management consists of glucose monitoring, medical nutrition therapy, physical activity, and insulin therapy. Children with type 1 diabetes are increasingly dependent on modern diabetes devices, including continuous glucose monitoring (CGM) and automated insulin delivery (AID) systems. AID systems integrate glucose sensor data from the CGM into an algorithm for an insulin pump to adjust some aspets of inThe majority of this conference will focus on diabetes management in the school setting, where diabetes—most commonly type 1—is a prevalent chronic condition of childhood. Management includes glucose monitoring, nutrition therapy, physical activity, and insulin use, with increasing reliance on technologies such as continuous glucose monitoring (CGM) and automated insulin delivery (AID) systems. While these tools improve care, they also present challenges for school nurses, including limited training and the need to manage alarms and remote monitoring. The conference will also address medical nutrition therapy, emphasizing its critical role in glucose control, common school-related challenges (e.g., independent food choices, picky eating, and activity coordination), and practical strategies to support students. Additional sessions will cover care coordination, legal considerations, and development of diabetes medical management plans. Finally, the conference will include guidance on adrenal insufficiency, a rare but serious condition requiring lifelong cortisol replacement, with a focus on recognizing adrenal crisis and administering emergency treatment such as Solu-Cortef in the school setting..