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Transition Program for Young Adults

Dr. Elena Toschi, and Dr. Anna Feldman,
Transition Program for Young Adults

Young adults with type 1 diabetes often experience competing life priorities at the very time as the parental support on which they have depended decreases.  They go off to college, get jobs, move away from home, or begin to just see themselves as no longer needing parents to monitor their daily routines.

This is a normal part of growing up, but there is can be a serious downside when you have type 1 diabetes: it can lead to a decline in in self-care which can cause glycemic control to deteriorate.

This can put young type 1 adults at risk for ketoacidosis and severe hypoglycemia. It can also set them up for chronic microvascular complications, such as nephropathy and retinopathy.

The Transition Clinic at Joslin was established to help young adults with type 1 diabetes with a planned, coordinated transition from child-centered to adult-oriented care. 

The Transition Care Team

Young adults in Joslin's Transition Care Program are supported by a coordinated team of endocrinologists, diabetes nurses, nutritionists, exercise physiologists, and psychologists who specialize in young adults with diabetes.

A Transition Care Coordinator is appointed to these patients and ensures that they are regularly scheduled for appointments and will follow up after any missed appointments.







A clinical study of transitional diabetes programs

Experiences of health care transition voiced by young adults with type 1 diabetes: a qualitative study

This qualitative study aimed to explore the experience of transition from pediatric to adult diabetes care reported by post transition emerging adults with type 1 diabetes (T1D), with a focus on preparation for the actual transfer in care.

Adolescent Health, Medicine and Therapeutics, 20 October 2014

Page last updated: July 29, 2016