The medical transition of young adults with type 1 diabetes (T1D): a retrospective chart review identifies areas in need of improvement

International Journal of Pediatric Endocrinology
Abby M WalchSusanne M Cabrera

Abstract

The transition process from pediatric to adult care in individuals with T1D has long-term ramifications on health outcomes. Recognition of differences in care delivery and changes made in management during this time may improve the process. We hypothesized that pediatric providers would be less likely to address T1D-related comorbidities than their adult counterparts, highlighting opportunities to strengthen care. A retrospective chart review of patients aged 16-21 years diagnosed with T1D before age 18 was performed. Data on diagnosis, screening, and management of hypertension, dyslipidemia, microalbuminuria, retinopathy, and neuropathy were collected for 1 year before and 1 year after transition to adult care. The 'ADA Standards of Medical Care in Diabetes' were used to determine adherence to the above parameters. Data before and after transition was compared by Fischer's Exact and Exact McNemar tests. Complete medical records for 54 subjects were reviewed before and after transition from pediatric to adult care providers within a single academic medical system (52% male; 78% Caucasian). Transition to adult care occurred at a mean age of 18 years. Mean length of transition was 7.8 months with no significant change in an indiv...Continue Reading

References

Dec 18, 2001·The Journal of Pediatrics·N H WhiteUNKNOWN Diabetes Control and Complications Trial (DCCT)/Epidemiology of Diabetes Interventions and Complications (EDIC) Research Gro
Aug 5, 2003·BMJ : British Medical Journal·C J WillsP Mansell
May 31, 2007·Diabetic Medicine : a Journal of the British Diabetic Association·D J Holmes-WalkerK Farrell
Sep 24, 2008·Archives of Internal Medicine·Ian H de BoerUNKNOWN Diabetes Control and Complications Trial (DCCT)/Epidemiology of Diabetes Interventions and Complications (EDIC) Study Resear
Jul 7, 2009·Journal of Diabetes and Its Complications·Jakob GrauslundAnne Katrin Sjølie
Feb 24, 2011·Expert Opinion on Drug Safety·Thura T Abd, Terry A Jacobson
Mar 27, 2013·Pediatrics·Debra S LotsteinUNKNOWN SEARCH for Diabetes in Youth Study Group
May 23, 2015·Diabetes Care·Kellee M MillerUNKNOWN T1D Exchange Clinic Network
Oct 28, 2016·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Sarah D CorathersLawrence M Dolan
Mar 1, 2017·JAMA : the Journal of the American Medical Association·Dana DabeleaUNKNOWN SEARCH for Diabetes in Youth Research Group
May 29, 2018·Diabetes Care·Margaret M McCarthy, Margaret Grey
Jan 9, 2019·Diabetes Care·Michael P BancksJohn T Wilkins
Dec 22, 2019·Diabetes Care·UNKNOWN American Diabetes Association
Dec 22, 2019·Diabetes Care·UNKNOWN American Diabetes Association
Dec 22, 2019·Diabetes Care·UNKNOWN American Diabetes Association

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