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Iyengar J, Thomas IH, Soleimanpour SA. Transition from pediatric to adult care in emerging adults with type 1 diabetes: a blueprint for effective receivership. Clin Diabetes Endocrinol. 2019;5:3doi: 10.1186/s40842-019-0078-7.
Iyengar, J., Thomas, I. H., & Soleimanpour, S. A. (2019). Transition from pediatric to adult care in emerging adults with type 1 diabetes: a blueprint for effective receivership. Clinical diabetes and endocrinology, 53. https://doi.org/10.1186/s40842-019-0078-7
Iyengar, Jennifer, et al. "Transition from pediatric to adult care in emerging adults with type 1 diabetes: a blueprint for effective receivership." Clinical diabetes and endocrinology vol. 5 (2019): 3. doi: https://doi.org/10.1186/s40842-019-0078-7
Iyengar J, Thomas IH, Soleimanpour SA. Transition from pediatric to adult care in emerging adults with type 1 diabetes: a blueprint for effective receivership. Clin Diabetes Endocrinol. 2019 Mar 06;5:3. doi: 10.1186/s40842-019-0078-7. eCollection 2019. PMID: 30891310; PMCID: PMC6404300.
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Clin Diabetes Endocrinol. 2019 Mar 06;5:3. doi: 10.1186/s40842-019-0078-7. eCollection 2019.

Transition from pediatric to adult care in emerging adults with type 1 diabetes: a blueprint for effective receivership.

Clinical diabetes and endocrinology

Jennifer Iyengar, Inas H Thomas, Scott A Soleimanpour

Affiliations

  1. 1Diabetes Transition Program, University of Michigan Health System, Ann Arbor, MI USA.
  2. 2Division of Metabolism, Endocrinology & Diabetes and Department of Internal Medicine of the University of Michigan Medical School, 1000 Wall Street, Brehm Tower Suite 5317, Ann Arbor, MI 48105 USA.
  3. 3Division of Endocrinology and Department of Pediatrics and Communicable Disease of the University of Michigan Medical School, Ann Arbor, MI USA.

PMID: 30891310 PMCID: PMC6404300 DOI: 10.1186/s40842-019-0078-7

Abstract

For adolescents and emerging adults, the transition from pediatrics to adult care is fraught with challenges both inside and outside the clinical arena, including assuming independent care for diabetes, working with new adult providers, and overcoming concomitant psychosocial issues, while maintaining work/school-life balance. Not surprisingly, glycemic control in emerging adults with type 1 diabetes is amongst the worst in all age groups. Thus, new and comprehensive strategies are needed by both pediatric and adult diabetes care teams to support young adults during the transition to adult care. In this review, we focus on challenges during the transition period and provide evidence-based recommendations for a receivership model to assist adult diabetes care teams in addressing these concerns. By coordinating efforts with pediatrics providers, identifying strengths and deficiencies in self-care, establishing rapport with young adult patients, directly addressing prevalent psychosocial concerns, and developing a team-based approach to keep patients engaged, adult care teams can prioritize support for the most vulnerable transition patients. Improved strategies to propel emerging adult patients through the transition period towards habits leading to optimal glycemic control could have a major long-term impact on preventing diabetes-related complications.

Keywords: Complications; Diabetes-related distress; Hemoglobin A1c; Transition

Conflict of interest statement

Not applicableNot applicableThe authors declare that they have no competing interests.Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliati

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