Journal of Diabetes Investigation (Oct 2024)

Evaluation of the transition program at the University Hospital of Reims from 2015 to 2020

  • Sonia Chibane,
  • Aurélie Berot,
  • Céline Lukas‐croisier,
  • Laure Dollez,
  • Sara Barraud,
  • Brigitte Delemer,
  • Géraldine Vitellius

DOI
https://doi.org/10.1111/jdi.14263
Journal volume & issue
Vol. 15, no. 10
pp. 1519 – 1523

Abstract

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ABSTRACT The transition of young type 1 diabetic (T1D) patients from pediatric to adult healthcare is a high‐risk period of loss to follow‐up. Since 2015, we have implemented a transition program, involving both pediatric and adult clinicians. The main objective was to evaluate the number of patients who had succeeded this transition program at 1 year. We found that 86% of patients underwent the complete transition program. However, adverse outcomes occurred in 19.1% of patients at 1 year but decreased to 2.9% after 3 years. In 63% of patients their HbA1c level had deteriorated 1 year after the transition day and this level stabilized at around 8% in the following 2 and 3 years. In patients who had improved HbA1c levels the body mass index was lower (P = 0.03) and they lived alone (P = 0.04). Although our program seemed to allow a better follow‐up than previously described, this study highlights the importance of further supporting this transition period.

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