Official websites use. Share sensitive information only on official, secure websites. Since , we have implemented a transition program, involving both pediatric and adult clinicians. However, adverse outcomes occurred in Type 1 diabetes T1D is the main form of diabetes in children and adolescents with an increasing incidence as recently shown in our center 1. This is a descriptive, retrospective, and monocentric study on a population of type 1 diabetic patients followed at the University Hospital of Reims in the pediatrics unit, from April to December The inclusion criteria were young type 1 diabetes patients, who underwent the transition program, involving a transition day, with a consultation between patients and both pediatric and adult clinicians, and a therapeutic education workshop between patients, parents, and adult and pediatric practitioners.
The patients who were directly followed in the adult diabetes care service, those who underwent a transition to simple consultations, and those with diabetes other than type 1 diabetes were excluded. Transition program description. The inclusion criteria were young type 1 diabetes patients, who underwent the transition program, involving a transition day, involved patient and both pediatric and adult clinicians and a therapeutic education workshop between patients, parents, and adult and pediatric practitioners.
This day was followed the year after with at least two scheduled appointments in the adult department. We retrieved the latest biological news, hospitalization reports, and serious events from all patients from their medical records. The significance threshold was set at 0.
Mean of HbA1c at transition 8. The HbA1c level during the transition day was 8. Data for one patient are missing one year after the transition day. At transition day, Nineteen percent of patients had a serious adverse outcome the first year after transition day: seven patients had diabetic ketoacidosis, two severe hypoglycemia, and four imbalanced diabetes.
The number dropped drastically to only 2. We evaluated the transition program that has been implemented at the CHU of Reims since In our cohort, girls received more psychological support, possibly linked to the presence of depressive symptoms which are a marker of loss to follow up after transition in other studies 9.
