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Clinical review: Diabetes in the adolescent: transitional issues
Sarah K Lyons1, Ingrid M Libman, Mark A Sperling
1Children's Hospital of Pittsburgh of University of Pittsburgh Medical Center, Division of Pediatric Endocrinology, 4401 Penn Avenue (FP 8139) Pittsburgh, PA 15224-1334. masp@pitt.edu.
The Journal of Clinical Endocrinology and Metabolism
|October 25, 2013
Summary
Transitioning youth with diabetes mellitus to adult care requires addressing physical and psychosocial factors. Early planning, patient readiness assessment, and open communication are key to successful diabetes management and improved outcomes.
Area of Science:
- Endocrinology
- Pediatric Care
- Transition Medicine
Background:
- Transitioning youth with diabetes mellitus from pediatric to adult care presents significant challenges.
- Physical and psychosocial factors critically impact this transition process.
- Optimizing care transitions is essential for improved diabetes management and patient outcomes.
Purpose of the Study:
- To review physical and psychosocial aspects affecting adolescent and young adult diabetes care.
- To evaluate barriers in transitioning patients to adult diabetes care.
- To provide clinical approaches for optimizing the transition process.
Main Methods:
- Literature review using PubMed for transition to adult diabetes care and adolescent psychosocial assessment.
- Internet search for online transition resources.
- Synthesis of findings based on authors' cumulative experience.
Main Results:
- Identified key barriers to successful transition in diabetes care.
- Developed a checklist to streamline the transition process.
- Highlighted the importance of a multi-faceted approach.
Conclusions:
- Initiate transition planning at least one year prior to the anticipated move to adult care.
- Assess patient readiness, provide comprehensive education to patients and families, and utilize transition resources.
- Maintain open communication between pediatric and adult care providers for seamless diabetes management.
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