Transferring from child to adult services affects those with type 2 diabetes
Tailored clinical programmes and healthcare system policies to support the growing population of young people with youth-onset type 2 diabetes are needed as they transfer from child to adult services, according to research.
A US study found young adults who have type 2 diabetes show signs of worsening glycaemic control and loss to follow-up during the transfer process from paediatric to adult care.
The research, led by the division of endocrinology, diabetes, and metabolism at the University of Pennsylvania, involved looking at 182 young adults with the condition. Within those people, 36 per cent were male, 75 per cent a minority and 87 per cent had obesity.
Most participants (n = 102, 56 per cent) reported transfer to adult care at follow-up; a substantial proportion (n = 28, 15 per cent) reported no care and 29 per cent did not transfer.Duration of diabetes [odds ratio (OR) 1.4, 95 per cent confidence interval (95 per cent CI) 1.1, 1.8] and age at diagnosis (OR 1.8, 95 per cent CI 1.4, 2.4) predicted leaving paediatric care.Transfer to adult or no care was associated with a higher likelihood of poor glycaemic control at follow-up (adult: OR 4.5, 95 per cent CI 1.8, 11.2; none: OR 4.6, 95 per cent CI 1.4, 14.6), independent of sex, age, race/ethnicity or baseline HbA level.
To read the study, click here.