Transition to adult care in youth with type 1 diabetes: follow-up continuity, complications, and metabolic control
Makaleler > Tam Makale · 2025
Yazarlar: Uğur Cem Yılmaz, Melih Bektaş, Yiğit Özel, Günay DEMİR, Deniz ÖZALP KIZILAY, Şükran DARCAN, Samim ÖZEN, Vildan Özkan Derviş, Ilgın YILDIRIM ŞİMŞİR, Ruhsar Damla GÖKŞEN
Endocrine Connections, Uluslararası, Wos, 2025, cilt 14
DOI: 10.1530/ec-25-0495
Özet
Introduction: The transition from pediatric to adult care in individuals with type 1 diabetes (T1D) often presents significant challenges, including disruptions in follow-up continuity and metabolic control. Objective: The aim of this study is to assess healthcare utilization, follow-up continuity, metabolic control (HbA1c levels), and the development of complications after transition to adult care within a transition clinic setting. Methods: A retrospective analysis was performed on 118 individuals with T1D who transitioned to adult care. Demographic data, along with pre- and post-transition HbA1c levels, chronic complications, treatment modifications, and follow-up attendance, were collected and analyzed. Results: Of the 118 participants, 67% (n = 80) transitioned through the transition council, with 62.5% (n = 50) maintaining regular follow-up in adult care. However, 27.5% (n = 30) experienced follow-up discontinuity. The mean HbA1c in the last year of pediatric care was 7.95 ± 1.27%, which slightly decreased to 7.73 ± 1.17% in the first year of adult care and remained stable at 7.74 ± 1.17% in the second year. Complication rates increased from 18% pre-transition to 26% during adult follow-up. Conclusion: Despite the challenges faced during the transition, transition clinics play a crucial role in supporting follow-up continuity and improving metabolic control. Multidisciplinary care and individualized treatment modifications are essential in reducing complication risks. Future research should include larger sample sizes to better address long-term health outcomes and optimize the transition process.