Transition support program may aid young adults with type 1 diabetes

Transition support program may aid young adults with type 1 diabetes

(HealthDay)—Structured support for patients transitioning from pediatric to adult care for type 1 diabetes may improve outcomes, but those benefits are not sustained after completion of the intervention, according to a study published online April 22 in Diabetes Care.

Tamara Spaic, M.D., from St. Joseph's Health Care London in Ontario, Canada, and colleagues randomly assigned 205 (ages 17 to 20 years) with type 1 to a transition program or standard care. The transition intervention included a transition coordinator and lasted 18 months (six months in and 12 months in adult care).

The researchers found that those in the transition program had higher clinic attendance (P = 0.002), greater satisfaction with care (P = 0.032), and less diabetes-related distress (P = 0.049) versus those in standard care. There was also a trend toward improvement in mean hemoglobin A1c (HbA1c; P = 0.057) associated with the transition program. However, during the 12-month follow-up period, there was no difference between the groups for failing to attend at least one clinic visit (P = 0.846) or mean change in HbA1c (P = 0.073). At the end of follow-up, there were no differences between the groups with respect to satisfaction with care, diabetes-related distress, or quality of life.

"We anticipate that the results of this appropriately powered randomized controlled trial will help to inform a more complete and prolonged solution for transition," the authors write.

Two authors disclosed financial ties to pharmaceutical and medical device companies.

More information: Abstract/Full Text (subscription or payment may be required)

Journal information: Diabetes Care

Copyright © 2019 HealthDay. All rights reserved.

Citation: Transition support program may aid young adults with type 1 diabetes (2019, April 29) retrieved 22 September 2023 from
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.

Explore further

Adding transition services does not aid heart failure outcomes


Feedback to editors