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Acta Diabetologica

03.05.2024 | Original Article

From pediatric to adult care: a survey on the transition process in type 1 diabetes mellitus and the diabetes services in Italy

verfasst von: Vanna Graziani, Tosca Suprani, Paolo Di Bartolo, Federico Marchetti, TransiDEA study group

Erschienen in: Acta Diabetologica

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Abstract

Aims

The present study assessed the transitioning process of young adults with type 1 diabetes mellitus (T1D) in Italy.

Materials and methods

We asked Pediatric Diabetes Centers (PDC) and Adult Diabetes Centers (CAD) to fill in a web-based survey on the current state of services, the number of transitioning adolescents with T1D within the last year, observations on limitations, and future directions.

Results

93 centers (46 PDCs, 47 CADs) joined the study. The total number of subjects with T1D being followed by a PDC was 16,261 (13,779 minors and 2483 young adults), while CADs had 25,500 patients. The survey showed an uneven situation. Only some services had a dedicated diabetes team (78% of PDCs, 64% of CADs). 72% of PDCs and 58% of CADs reported a protocol dedicated to transition. The median age for transition was 19 (range 16–25 years); the time required for preparing transition, indicated by both PDCs and CADs, was 5.5 months. A high percentage of CADs (80%) confirmed receiving sufficient clinical information, mainly through paper or computerized reports. The transition process is hampered by a lack of resources, logistical facilities, and communication between services. While some services have a protocol, monitoring of results is only carried out in a few cases. Most specialists expressed the need to enhance integration and continuity of treatment.

Conclusions

The current situation could be improved. Applying standard guidelines, taking into consideration both clinicians’ and patients’ necessities, would lead to a more successful transition process.

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Titel: From pediatric to adult care: a survey on the transition process in type 1 diabetes mellitus and the diabetes services in Italy
verfasst von: Vanna Graziani
Tosca Suprani
Paolo Di Bartolo
Federico Marchetti
TransiDEA study group
Publikationsdatum: 03.05.2024
Verlag: Springer Milan
Erschienen in: Acta Diabetologica
Print ISSN: 0940-5429
Elektronische ISSN: 1432-5233
DOI: https://doi.org/10.1007/s00592-024-02268-3

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From pediatric to adult care: a survey on the transition process in type 1 diabetes mellitus and the diabetes services in Italy

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