Shivani Agarwal1,2,3,4,5, Jennifer K. Raymond1,2,3,4,5, Mark H. Schutta1,2,3,4,5, Serena Cardillo1,2,3,4,5, Victoria A. Miller1,2,3,4,5, Judith A. Long1,2,3,4,5
1Corporal Michael J. Crescenz VA Center for Health Equity Research and Promotion. Philadelphia, Pennsylvania (Dr Long)
2Division of Adolescent Medicine, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania (Dr Miller)
3Division of Pediatric Endocrinology, Children’s Hospital of Los Angeles, Los Angeles, California (Dr Raymond)
4Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania (Dr Agarwal, Dr Schutta, Dr Cardillo, Dr Miller, Dr Long)
5Rodebaugh Diabetes Center, University of Pennsylvania Health System, Philadelphia, Pennsylvania (Dr Agarwal, Dr Schutta, Dr Cardillo)
Tóm tắt
PurposeThe purpose of the study was to evaluate an adult health care program model for emerging adults with type 1 diabetes transitioning from pediatric to adult care.MethodsEvaluation of the Pediatric to Adult Diabetes Transition Clinic at the University of Pennsylvania included a cohort of 72 emerging adults with type 1 diabetes, ages 18 to 25 years. Data were extracted from transfer summaries and the electronic medical record, including sociodemographic, clinical, and follow-up characteristics. Pre- and postprogram assessment at 6 months included mean daily blood glucose monitoring frequency (BGMF) and glycemic control (A1C). Paired t tests were used to examine change in outcomes from baseline to 6 months, and multiple linear regression was utilized to adjust outcomes for baseline A1C or BGMF, sex, diabetes duration, race, and insulin regimen. Open-ended survey responses were used to assess acceptability amongst participants.ResultsFrom baseline to 6 months, mean A1C decreased by 0.7% (8 mmol/mol), and BGMF increased by 1 check per day. Eighty-eight percent of participants attended ≥2 visits in 6 months, and the program was rated highly by participants and providers (pediatric and adult).ConclusionsThis study highlights the promise of an adult health care program model for pediatric to adult diabetes transition.
