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Paediatric-to-adult transition in type 1 diabetes: A two-centre experience of a structured program, 2014 to 2022
Gaëlle Vermillac1,2, Charlotte Lafont3,4, Cécile Godot1
1Endocrinologie, Diabétologie Et Gynécologie Pédiatrique, Hopital Necker-Enfants Malades, Université Paris Cité, AP-HP centre, Paris, France.
Diabetes, Obesity & Metabolism
|January 7, 2025
Summary
A coordinated transition process helps most Type 1 diabetes patients attend adult care. Younger age at diagnosis and poorer glycemic control predict non-adherence to adult follow-up for T1D care.
Area of Science:
- Endocrinology
- Paediatric Healthcare
- Transition Medicine
Background:
- Transitioning from pediatric to adult healthcare is critical for Type 1 diabetes (T1D) patients.
- A structured, coordinated process may improve adherence to adult care follow-up.
Purpose of the Study:
- To outline a joint pediatric and adult diabetology transition process.
- To compare follow-up adherence in patients undergoing this transition.
Main Methods:
- Retrospective study involving patients from 2014-2021 in pediatric diabetology.
- Analysis of patient progression to adult care follow-up.
Main Results:
- 137/183 patients transitioned to adult care, with improved HbA1c (7.8%) and stable complication rates.
- 25.1% of patients did not attend adult care; younger diagnosis age and higher pre-transition HbA1c predicted non-adherence.
- Most patients (88.5%) felt well-prepared for the transition.
Conclusions:
- A gradual, coordinated transition process facilitates adult care follow-up for most T1D patients.
- Early diagnosis age and suboptimal glycemic control are linked to poor adherence to adult care.
- The transition process positively impacted patient preparedness and diabetes management perception.
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