Glycemic control and clinic attendance of emerging adults with type 1 diabetes at a transition care clinic

Acta Diabetologica
Y Levy-ShragaO Pinhas-Hamiel

Abstract

Emerging adulthood is a challenging period for diabetes management. Our aim was to determine whether a dedicated transition clinic for emerging adults with type 1 diabetes can improve glycemic control and visit attendance. An observational study of 53 emerging adults (30 males) treated during 2010-2014 in a newly established transition clinic. The clinic was operated jointly by pediatric and adult endocrinologists and included a transition coordinator. Data collected included the source of referral, HbA1c levels, frequency of visit attendance, and acute complications. For 27 patients who had attended the pediatric clinic at the same medical center, data from up to 2 years preceding the transition were also collected. Patients filled the Diabetes Quality of Life-Youth questionnaire at the transition and 1 year later. Mean ± SD age at the transfer to the transition clinic was 22.1 ± 2.7 years; mean disease duration was 8.4 ± 5.0 years. Follow-up duration at the transition clinic was 1.2 ± 1.1 years. Mean HbA1c levels decreased from 67 mmol/mol (95 % CI 63-72) [8.3 % (95 % CI 7.9-8.7)] at transfer to 57 mmol/mol (95 % CI 52-63) [7.4 % (95 % CI 6.9-7.9)] after 1 year (p < 0.001). Thirty-six patients (68 %) attended three or more vi...Continue Reading

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Citations

Jan 30, 2018·Diabetic Medicine : a Journal of the British Diabetic Association·S AgarwalD Dabelea
May 29, 2018·Diabetes Care·Margaret M McCarthy, Margaret Grey
Apr 28, 2019·Journal of Pediatric Endocrinology & Metabolism : JPEM·Orit TwitoAlon Eliakim
May 8, 2019·Pediatric Transplantation·Vanessa MichaudMarie-José Clermont
Jan 23, 2020·Diabetic Medicine : a Journal of the British Diabetic Association·S BrewsterH Price
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Jul 17, 2018·Current Diabetes Reports·Shivani AgarwalAshley Butler
Sep 10, 2021·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Margaret McCarthyVictoria Vaughan Dickson

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