Joan Adam, Secretary of Health



Unlicensed Diabetes Aide (UDA)





When a licensed nurse is not available, a registered nurse may delegate subcutaneous insulin administration to a South Dakota Board of Nursing (BON) registered UDA in accordance with the Board's Approved Protocol


An RN may only delegate insulin administration when a licensed nurse is not physically present on site to administer the insulin.



UDA Training:

To accept the delegated task of insulin administration, unlicensed personnel are required to complete the South Dakota Board of Nursing's 10-hour UDA Training Course (5 hours online theory instruction + 5 hours clinical instruction), pass the BON's online UDA exam, and be registered by the BON as a UDA. The 5-hour online UDA Training Course is found here:

The training course must be led by the RN Trainer using the RN Training Checklist. The RN is responsible to teach the BON's 5-hour UDA learning modules and a 5-hour skills lab, including a skills competency evaluation using the UDA Skills Checklist.  The checklist should be maintained by the employer but does not need to be submitted to the BON office.

  • RN Training Course:  A registered nurse who meets the requirements listed in the Approved Protocol may serve as the RN Trainer and teach the required UDA training.  As prescribed in the Protocol, RNs are responsible to first complete the BON's online UDA RN Train-the-Trainer modules found here:

Question?: Email

UDA Registration:
Registration as an Unlicensed Diabetes Aide (UDA) permits the registrant to accept delegated nursing tasks to assist persons with diabetes. Some tasks a registered nurse may choose to delegate to a UDA include administration of subcutaneous insulin such as helping with an insulin pump, or administering an injection using a vial and syringe or an insulin pen device. The UDA may also assist with other tasks such as performing blood glucose monitoring and counting carbohydrates.

  1. Complete the South Dakota Board of Nursing's (SDBON) approved 5-hour Unlicensed Diabetes Aide (UDA) Training Course.

  2. Complete a 5-hour clinical/lab training session and skills checklist with the registered nurse responsible for delegating diabetes tasks to you.

  3. After completion of the program, the applicant must submit the UDA Initial Registration Application to the Board to request to take the exam with an approved proctor. After successful completion of the exam, the applicant will be listed on the UDA registry.

UDA Initial Registration and Exam:

After successful completion of the UDA training:

 - Each applicant must take the South Dakota Board of Nursing's UDA Exam. 

  1. The applicant will submit the online UDA Initial Registration ApplicationAllow up to 5-7 business days for the SDBON to process your application.
  2. Each applicant must take the South Dakota Board of Nursing's online UDA Exam while under supervision of a proctor.  Within the online application, the applicant will identify their proctor.

    - Proctor Information

  3. The RN instructor who completed the 5-hour clinical/lab with the applicant will submit the RN Attestation form.
     - The RN Attestation form can be found here.

  4. Allow up to 5-7 business days for the South Dakota Board of Nursing to process the application and RN attestation form, keeping in mind it could take longer if there are errors on the application or the requirements are not met.

    - The applicant is NOT eligible to test until their application AND RN Attestation has been processed by the South Dakota Board of Nursing.
  5. Once the applicant is determined eligible for testing, the identified board-approved proctor will receive an email advising exam eligibility.   

  6. The approved proctor will login into their Proctor Portal with the username and password provided.
    - Proctor Portal

  7. The proctor will click Agree to proctor the applicant's exam.
  8. The applicant then will receive an email advising that their proctor has Agreed to proctor their exam.
  9. Following receipt of the online access information, the Proctor may administer the exam to the UDA applicant according to the proctor agreement guidelines. 

  10. An applicant who fails their exam the first time can submit the online UDA Re-Take Exam Application.

    - Please Note: The RN attestation form is not required to take the UDA Re-Take Exam
    - Before retaking the exam, all learning materials should be reviewed with an RN.
    - If the applicant fails the exam the second time, the course must be repeated.

  11. The applicant will receive immediate notification of a pass or fail upon submitting the exam.
  12. After successfully completing the exam, the applicant will be listed on the UDA Registry.

  13. The RN may now choose to delegate insulin administration to the UDA according to the Approved Protocol.

Step by step instructions for the UDA Registration Process can be found here.

Exam information can be found here.