The review by East Sussex's Local Safeguarding Children Board (LSCB) identifies ways in which health workers and schools could improve how they work together to support children with diabetes.
It finds that opportunities to provide preventatives services "were too often missed" prior to the hospital death of the 18-year-old in May 2017, from a complication associated with type 1 diabetes.
The findings could impact thousands of children - there are about 35,000 children and young people under the age of 19 with diabetes in the UK, of which 96 per cent have type 1.
Diabetes UK research puts the UK as among the worst performing countries for blood glucose control.
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