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The medical transition of young adults with type 1 diabetes (T1D): a retrospective chart review identifies areas in need of improvement.

Abby M WalchCarmen E CobbShirng-Wern TsaihSusanne M Cabrera
Published in: International journal of pediatric endocrinology (2020)
Overall, there were no significant changes in the diagnosis or management of several T1D-related comorbidities during the transition period in a small cohort of young adults with T1D. The transition length was longer than the recommended 3-months, highlighting an opportunity to improve the process. There was no deterioration of glycemic control over this time, although HbA1c values were above target. Adult providers had significantly higher rates of adherence to screening for microalbuminuria and neuropathy than their pediatric counterparts, but adherence for neuropathy was quite poor overall, indicating a need for practice improvement.
Keyphrases
  • glycemic control
  • young adults
  • type diabetes
  • childhood cancer
  • blood glucose
  • healthcare
  • weight loss
  • primary care
  • insulin resistance
  • genome wide
  • gene expression
  • adipose tissue
  • drug induced