1. Evaluation of the transition program at the University Hospital of Reims from 2015 to 2020.
- Author
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Chibane S, Berot A, Lukas-Croisier C, Dollez L, Barraud S, Delemer B, and Vitellius G
- Subjects
- Humans, Female, Male, Young Adult, Adult, Adolescent, Program Evaluation, Follow-Up Studies, Child, France, Diabetes Mellitus, Type 1 therapy, Hospitals, University, Transition to Adult Care, Glycated Hemoglobin analysis
- 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., (© 2024 The Author(s). Journal of Diabetes Investigation published by Asian Association for the Study of Diabetes (AASD) and John Wiley & Sons Australia, Ltd.)
- Published
- 2024
- Full Text
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