Diabetes is increasing in youth, presenting a serious public health threat. Although type 1 diabetes has historically been more common in children, type 2 diabetes is on the rise, linked to increases in overweight and obesity among American youth, particularly those of high risk racial and ethnic groups. Foodservice personnel, along with other members of the school community, will require knowledge, skills, and preparation to respond to the daily management needs of children with diabetes, in order to support optimal health and learning. Diabetes awareness training is necessary to understand overall treatment strategies, factors affecting blood glucose levels, warning signs and treatment of hypoglycemia, and basic dietary strategies for diabetes meal planning. Providing healthy school meals which meet the Dietary Guidelines for Americans will further support diabetes management as well as help prevent type 2 diabetes in children.