Diabetes Care for Emerging Adults: Transition from Pediatric to Adult Diabetes Care

Diabetes Care for Emerging Adults:
Transition from
Pediatric to Adult Diabetes Care

Fatemeh Sayarifard, MD

Associate Professor of Pediatric Endocrinology

Tehran University of Medical Sciences

Contents

• Introduction
• Understand the differences between pediatric and adult approach to DM care.
• Understand the issues emerging adults face as they transition care to an adult provider.
• Review the available resources for pediatric and adult populations.
• Learn how to assemble a multidisciplinary DM care team.
• ADA recommendation

Introduction

• Type  1 diabetes (T1D) is one of the most common chronic diseases of childhood. The physiological, psychological, social and emotional changes that occur as a child develops present unique challenges in the management of T1D.
• Transition from pediatric to adult care for DM management is difficult.
• Studies worldwide have documented gaps in care that occur during this transition phase, which lead to poorer outcomes emerging adults.
• ADA 2011 Position Statement: Diabetes Care for Emerging Adults: Recommendations for Transition From Pediatric to Adult Diabetes Care Systems

Epidemiology

• SEARCH for Diabetes in Youth Study:
• 2001: 154,000 youth (age <20 years) with DM
• 2010: 215,000 youth (age <20 years) with DM
• Type 1 DM prevalence has doubled worldwide.
• Expected to double again in 15-20 years.
• Increased rates of childhood obesity are increasing incidence of type 2 DM.

What does all this mean?

• Increased incidence of T1DM.
• More children diagnosed at a younger age, and living longer with T1DM.
• Increased prevalence.
• T2DM  and obesity in children on the increase.
• OVERALL INCREASE IN THE BURDEN OF DISEASE.
• We are handing over more patients to the adults.