Transition from paediatric to adult diabetes care


The transition of care for young people with type 1 diabetes from a paediatric medical practice to an adult medical practice is often awkward and stress-producing for the young person and his or her caregivers. Often, gaps in care are encountered.

As a result, deteriorations in glycaemic control may occur and contribute to the occurrence of acute and chronic complications of diabetes, as well as untreated psychosocial, behavioural and emotional challenges.

Diabetes educators play an integral role in assisting with and promoting a successful transition of care for these young patients.

This discussion session will focus on sharing strategies that promote positive outcomes for this patient population.
What solutions, systems or models of care would you recommend to aid young people with diabetes, so that they engage in ongoing medical care as adults?


Transition into adulthood is a very critical time and indeed needs careful monitoring of a young person with diabetes.

Children transiting into adulthood want to acquire more independence and tend to adopt a “secretive” attitude towards diabetes. Even if they do not hide their condition, they tend not to share and discuss information regarding management. They tend to avoid people discipline and authority.

I beleive that relying on peer educators can be one model of easing out the difficult condition that is posed at this age. Though this needs to be formulated and investigated before a statement can be given.

A formal model may use young peer educators for supporting the children who will be transitioning into adulthood in some time. Once the bond is there, the same peer educators help them transition into adulthood. Peer educators would understand them better as they have faced the same thing some years back.