This paper describes development of recommended guidelines, by a subcommittee of the American Diabetes Association, concerning in-school management of hypoglycemia. Two tables replicate a portion of the guidelines related to: (1) the recognition and treatment of hypoglycemia, and (2) adjustment to school. Other information included in the guidelines involves: definition, incidence, and signs and symptoms of diabetes; general management of diabetes including insulin injections, meal planning, and blood glucose monitoring; and the recognition and treatment of diabetic ketoacidosis. Also described is a 2-day seminar on diabetes management for school nurses in Maryland offered as part of a 5-day continuing education seminar. (DB)