[Building bridges during transition of patients with type 1 diabetes. Adult medical and pediatric point of views].
The transition of patients with type 1 diabetes from pediatric to adult care services is challenging not only for patients but also for pediatricians and the further care providing physician. Around the time of transition, metabolic control is often unstable. Furthermore, psychiatric comorbidities or social background should be considered. Follow-up by a specialist, i.e. adults' endocrinologist/diabetologist, should be guaranteed. Typical differences between pediatric and adult health care services may hamper a successful transition. The handing-over of health care should be planned early and the timing should be adapted to the medical and psychosocial condition of the patient. An interdisciplinary transfer clinic seems the optimal setting for a successful transition. Close cooperation between pediatricians and adults' diabetologists is a prerequisite.
Busse-Voigt
F P
FP
Klinik und Poliklinik für Endokrinologie, Diabetologie und Nephrologie, Department für Innere Medizin und Dermatologie, Universitätsklinikum Leipzig AöR, Leipzig.
Kiess
W
W
Stumvoll
M
M
Hering
N
N
Kapellen
T M
TM
D000293:Adolescent; D016497:Adolescent Health Services / Q000639:trends*; D000328:Adult; D003695:Delivery of Health Care / Q000639:trends; D003922:Diabetes Mellitus, Type 1 / Q000175:diagnosis* / Q000628:therapy*; D005858:Germany; D006301:Health Services Needs and Demand / Q000639:trends*; D019456:Health Transition; D006801:Humans; D007388:Internal Medicine / Q000639:trends*; D010372:Pediatrics / Q000639:trends*; D055815:Young Adult
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