Endocrine Abstracts

Transition from pediatric to adult diabetes care is a critical period associated with increased risk of adverse health outcomes, disengagement from healthcare services, and psychosocial challenges. This consensus report, developed jointly by the International Society for Pediatric and Adolescent Diabetes (ISPAD), the European Association for the Study of Diabetes (EASD), and the American Diabetes Association (ADA), provides recommendations to optimize transition care for young people with diabetes. A systematic review, along with a global survey of 372 healthcare professionals and 146 individuals with diabetes or carers, identified significant variability in transition models, with many lacking structured readiness assessments, dedicated transition personnel, or formal education programs. Only 32.8% of healthcare centers utilized a transition readiness checklist, and less than 25% had structured transition education or dedicated staff to support transition efforts. Identified barriers included poor communication between pediatric and adult teams, lack of psychosocial support, and uncoordinated care transfers.

The consensus framework recommendations outline three key phases of transition:

1. Pre-transition: Early preparation (12–24 months before transfer), structured education, transition readiness assessments, and active family/carer involvement.

2. Transfer of care: Timely scheduling of the first adult care visit, provision of a written medical summary, structured communication between care teams, and encouragement of peer support.

3. Post-transfer: Ongoing assessment of diabetes knowledge and psychosocial well-being, flexible care models (e.g., telehealth, young adult clinics), and education on emergency care management.

Despite limited high-quality evidence on transition outcomes, structured programs have shown improvements in engagement, care satisfaction, and self-management skills. This report underscores the need for adaptable, resource-sensitive strategies tailored to diverse healthcare settings. Future research should evaluate long-term clinical and psychosocial outcomes to further refine best practices. Implementing these global recommendations will help ensure a seamless, supportive transition, ultimately improving long-term health and well-being for young people with diabetes.