The estimated median age at transition to adult care was 20.1 years and 77 percent of individuals with type 1 diabetes had left pediatric care by age 21. The study suggests that without support, they were 2.5 times more likely to have high blood glucose levels when transitioning from pediatric to adult care
The study is co-authored by Georgeanna Klingensmith, MD, professor, University of Colorado, Barbara Davis Center for Childhood Diabetes and Dana Dabelea, MD, PhD, professor, University of Colorado, Colorado School of Public Health.
"With these results and our Colorado experience, we are developing a program for high school students and young college students to better prepare them to transition into adult care within 2-4 years of graduating from high school. We hope through this program they will have the support and learn the skills they need to successfully transition to the more independent care expected by providers of adult diabetes care," said Klingensmith. Dabalea added, "Our data highlight the importance of optimal health care transition during a critical period in the life of a teenage with type 1 diabetes. Additional research and programs focusing at improving health care services for this high risk population are urgently needed."
These data were analyzed from the multi-centered SEARCH for Diabetes in Youth Study, which has tracked children and young adults with diabetes from six centers across the U.S. since 2002. The cohort of youth studied included 185 adolescent and young adults with type 1 diabetes enrolled in the study in the year after their diabetes was diagnosed. Youth included in these analyses were cared for by pediatric diabetes physicians at the time of their initial study visit and were followed for an average of 4.5 years.
Previous research of youth with type 1 diabetes in the United States has primarily looked at youth from one diabetes specialty center or from one geographic area. Other research has looked at youth at one point in time, either before or after leaving pediatric care. This study is the largest national cohort of youth with type 1 diabetes in the U.S. to be followed over a period of time.
The authors did not find that type of insurance (such as public versus private) made a difference in switching to adult care, but they found that older age of the patient, less parental education and lower baseline blood glucose levels were independently associated with increased odds of transitioning to adult care.
The next stage of research is to study young adults who are leaving pediatric care directly as they are aging to see what happens as they get older, and look at how different types of help with the transition to adult care affect outcomes.
Type 1 diabetes is a condition where the body does not produce insulin and cannot convert sugar, starches and other food into energy and is often diagnosed during childhood or adolescence age. It requires life-long access to medical care and intensive daily self-management for people with diabetes to stay healthy.
This article will be published in the April 2013 issue of the journal Pediatrics.
Faculty at the University of Colorado School of Medicine work to advance science and improve care. These faculty members include physicians, educators and scientists at University of Colorado Hospital, Children's Hospital Colorado, Denver Health, National Jewish Health, and the Denver Veterans Affairs Medical Center. Degrees offered by the CU Denver School of Medicine include doctor of medicine, doctor of physical therapy, and masters of physician assistant studies. The School is located on the University of Colorado's Anschutz Medical Campus, one of four campuses in the University of Colorado system. For additional news and information, please visit our online newsroom.
The Colorado School of Public Health is the first and only school of public health in the Rocky Mountain Region, attracting top tier faculty and students from across the country, and providing a vital contribution towards ensuring our region's health and well-being. Collaboratively formed by the University of Colorado Denver, Colorado State University, and the University of Northern Colorado, the Colorado School of Public Health provides training, innovative research and community service to actively address public health issues, including chronic disease, access to health care, environmental threats, emerging infectious diseases, and costly injuries.
Jackie Brinkman | EurekAlert!
Amputees can learn to control a robotic arm with their minds
28.11.2017 | University of Chicago Medical Center
The importance of biodiversity in forests could increase due to climate change
17.11.2017 | Deutsches Zentrum für integrative Biodiversitätsforschung (iDiv) Halle-Jena-Leipzig
MPQ scientists achieve long storage times for photonic quantum bits which break the lower bound for direct teleportation in a global quantum network.
Concerning the development of quantum memories for the realization of global quantum networks, scientists of the Quantum Dynamics Division led by Professor...
Researchers have developed a water cloaking concept based on electromagnetic forces that could eliminate an object's wake, greatly reducing its drag while...
Tiny pores at a cell's entryway act as miniature bouncers, letting in some electrically charged atoms--ions--but blocking others. Operating as exquisitely sensitive filters, these "ion channels" play a critical role in biological functions such as muscle contraction and the firing of brain cells.
To rapidly transport the right ions through the cell membrane, the tiny channels rely on a complex interplay between the ions and surrounding molecules,...
The miniaturization of the current technology of storage media is hindered by fundamental limits of quantum mechanics. A new approach consists in using so-called spin-crossover molecules as the smallest possible storage unit. Similar to normal hard drives, these special molecules can save information via their magnetic state. A research team from Kiel University has now managed to successfully place a new class of spin-crossover molecules onto a surface and to improve the molecule’s storage capacity. The storage density of conventional hard drives could therefore theoretically be increased by more than one hundred fold. The study has been published in the scientific journal Nano Letters.
Over the past few years, the building blocks of storage media have gotten ever smaller. But further miniaturization of the current technology is hindered by...
With innovative experiments, researchers at the Helmholtz-Zentrums Geesthacht and the Technical University Hamburg unravel why tiny metallic structures are extremely strong
Light-weight and simultaneously strong – porous metallic nanomaterials promise interesting applications as, for instance, for future aeroplanes with enhanced...
11.12.2017 | Event News
08.12.2017 | Event News
07.12.2017 | Event News
12.12.2017 | Physics and Astronomy
12.12.2017 | Earth Sciences
12.12.2017 | Power and Electrical Engineering