From Pediatric To Adult Diabetes Care: Transition Improvement Studied

A survey at Boston Children’s Hospital showed the transition from pediatric to adult healthcare services, for those with type 1 diabetes, could use some improving.

Questions about the transition experience were given to two groups of young adults with type 1 diabetes. Out of 602 patients surveyed, just over half were still in pediatric care; the others had already entered adult services.

The survey revealed current guidelines for transition preparation and coordination of care could be implemented more effectively. “We need to develop systems to help providers provide efficient, standardized transition preparation education and counseling for youth with diabetes,” said Dr. Katherine Garvey of Boston Children’s Hospital.

In the pediatrician group, survey answers showed the average age of transition to adult services was 22. Two-thirds of the respondents said this was owed to an emotional attachment they had formed with their pediatric providers.

While over 80 percent of the pediatrician group reported discussions with providers about general diabetes management, only 60 percent had conversations about prescriptions and appointment setting; 55 percent had gone over the transition process or had a completed plan. Fewer than one-fifth of this group received something in writing regarding their transition.

Of the surveyed patients already in adult care, the average age of transition was 19. Most of them, 63 percent, had switched to an adult healthcare team after their pediatrician received a specific referral. Sixty-six percent of those referred reported feeling ready for the change, and these patients had fewer subsequent diabetes-related problems.

The Boston survey findings were published in the journal Diabetes Care, where the authors note that patient and parental attachment to pediatricians had earlier been identified as a transition barrier in young patients with chronic conditions, including type 1 diabetes. They recommend this issue be addressed during patient counseling.

For a more efficient transition, the investigators advocate for improved self-management counseling, the creation of a written transition plan, and that specific referrals to an adult provider are issued.

“Prioritizing transition preparation and planning may increase young adult engagement in care across the transition, and help protect them from gaps in care and adverse outcomes,” said Garvey.

Source: Diabetes UK

Get Free Diabetic Supplies

For a limited time only, you can reduce diabetic supplies costs by more than 90%. Enrolling just take a few minutes.
1) Fill out the form
2) Speak to a representative
3) Get diabetic supplies delivered to your door at little or no cost.

Also, you will get a free Diabetes Meal Plan from a Registered Dietitian and Certified Diabetes Educator.

Enter your information below to see if you qualify.

By clicking Submit, you agree to send your info to InformationAboutDiabetes.com and we agree to use it according to our privacy policy.

More Articles

Doctors use regular assessments of their diabetic patients not only to monitor the progress of the disease but also as opportunities to counsel...

Every body needs insulin, an essential hormone produced by the pancreas that regulates blood sugar by converting glucose into energy. Diabetics...

People are not the only beings who suffer from diabetes. Any mammal with a pancreas can develop the disease through a lack of or impaired insulin...

When is diabetes not really diabetes? When it is Diabetes Insipidus. Diabetes Insipidus is a rare disorder not related to diabetes mellitus,...

When news stations feature stories about diabetes, they tend to include a shot of an overweight body, calling attention to the person's excess...

More Articles

The most well-known variations of diabetes are type 1 diabetes and type 2 diabetes....

Those who have not yet been diagnosed with type 2 diabetes can greatly reduce their susceptibility by doing one key...

There are those who have heard of the term "diabetes mellitus," but might not be familiar with it. Diabetes Mellitus is a condition in...

Not only is dry skin uncomfortable, but scratched or cracked skin is also susceptible to bacterial and fungal infections – common medical...

=It’s helpful to know the difference between a food’s total grams of carbohydrate, and net grams of carbohydrate since only net carbs affect blood...

Eating LCHF, or a Low Carb High Fat diet, is a bit mind-bending for those of us who have learned to consume low-fat and lean. In many respects, it...

A 1-minute quiz could predict whether or not you're at risk for prediabetes. More than 1 in 3 adults in the U.S. have prediabetes, which - left...

The human body needs chromium, a trace mineral, for several essential functions including the normalizing of...

Do not let pictures of yoga experts with their bodies twisted into bizarre, compact shapes fool you. Even people with stiff muscles, creaky joints...

It can be difficult enough to get on stage and make a roomful of strangers laugh, but for comedians suffering from type 1 or type 2 diabetes,...

Because beets have moderately high sugar content, it’s typically recommended that people watching their glucose levels limit beet consumption....

It would be interesting to know how many people with diabetes actually use blood glucose control solutions to regularly check the accuracy of...

Gestational diabetes is a condition characterized by abnormally high blood glucose levels during the condition...

How frustrating to wake up in the morning with elevated blood sugar when all you did was dream about eating a piece of cheesecake. A seemingly...

There is nothing close to a one-size-fits-all exercise program for those with diabetic peripheral neuropathy. The best general advice is to...