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Survey Reveals Gaps in T1D Care Transition

Shortfalls seen in handoff from youth to adult care

Publish date:: January 22, 2016

There is a need for better information transfer between pediatric and adult providers as individuals with type 1 diabetes transition to adult care, according to a survey of 536 endocrinologists. Additionally, patients need improved mental health referral access.

The survey, which had a 13% response rate, found that:

• Only 36% said they often or always review pediatric records, and just 11% acknowledged receiving summaries for transitioning young adults with type 1 diabetes.

• More than 70% believe these activities are important for patient care.

• More than 9 in 10 said diabetes educators and dieticians were easily accessible, but only 4 in 10 said they had easy access to mental health professionals. Access was particularly challenging in nonacademic settings.

Citation: Garvey K, Telo G, Neddleman J, Forbes P, Finkelstein J, Laffel L. Health care transition in young adults with type 1 diabetes: Perspectives of adult endocrinologists in the United States. [Published online ahead of print December 17, 2015]. Diabetes Care. doi:10.2337/dc15-1775.

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