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!
The Great Unknown: Risk-Taking Behavior in Adolescents
19.01.2017 | Max-Planck-Institut für Bildungsforschung
A sudden drop in outdoor temperature increases the risk of respiratory infections
11.01.2017 | University of Gothenburg
An important step towards a completely new experimental access to quantum physics has been made at University of Konstanz. The team of scientists headed by...
Yersiniae cause severe intestinal infections. Studies using Yersinia pseudotuberculosis as a model organism aim to elucidate the infection mechanisms of these...
Researchers from the University of Hamburg in Germany, in collaboration with colleagues from the University of Aarhus in Denmark, have synthesized a new superconducting material by growing a few layers of an antiferromagnetic transition-metal chalcogenide on a bismuth-based topological insulator, both being non-superconducting materials.
While superconductivity and magnetism are generally believed to be mutually exclusive, surprisingly, in this new material, superconducting correlations...
Laser-driving of semimetals allows creating novel quasiparticle states within condensed matter systems and switching between different states on ultrafast time scales
Studying properties of fundamental particles in condensed matter systems is a promising approach to quantum field theory. Quasiparticles offer the opportunity...
Among the general public, solar thermal energy is currently associated with dark blue, rectangular collectors on building roofs. Technologies are needed for aesthetically high quality architecture which offer the architect more room for manoeuvre when it comes to low- and plus-energy buildings. With the “ArKol” project, researchers at Fraunhofer ISE together with partners are currently developing two façade collectors for solar thermal energy generation, which permit a high degree of design flexibility: a strip collector for opaque façade sections and a solar thermal blind for transparent sections. The current state of the two developments will be presented at the BAU 2017 trade fair.
As part of the “ArKol – development of architecturally highly integrated façade collectors with heat pipes” project, Fraunhofer ISE together with its partners...
19.01.2017 | Event News
10.01.2017 | Event News
09.01.2017 | Event News
20.01.2017 | Life Sciences
20.01.2017 | Physics and Astronomy
20.01.2017 | Materials Sciences