title: [Evaluation of the transition from pediatric to adult diabetic unit for adolescents with type 1 diabetes].
abstract: BACKGROUND
  The transition between pediatric and adult care for young people with type 1 diabetes (T1D) is often poorly managed, with adverse consequences for health, as well as a decrease in the follow-up.
  
  
  OBJECTIVE
  To analyze the metabolic control and the degree of satisfaction in a group of patients with T1D after being transferred from the Pediatric Diabetes Unit (PDU) to Adult Diabetes Unit (ADU).
  
  
  METHODS
  Retrospective study in a cohort of 49 patients (43% female) with T1D. The age at diagnosis and transfer to ADU, time of onset of the disease, metabolic control (HbA1c), presence of diabetic complications and characteristics of medical follow-up were analysed using the statistics program: SPSS, version 17.0.
  
  
  RESULTS
  Mean age at diagnosis 8.3±4.6 years and transfer to ADU 19.2±1.8 years. Mean time since onset of T1D in pediatrics, adults and overall: 10.8±5.0, 4.1±2.6 and 15.0±5.7 years, respectively. The 6% of adult patients were not being medically tracked. Among adults, 25% did not provide data about chronic complications, and 6% did not know their last HbA1c. The metabolic control after their transfer to the ADU worsened in 52% of the patients (HbA1c +0.79±0.70%). No correlation was found between the time since onset and the HbA1c value. Degree of satisfaction was either good or very good in 96% of patients in the PDU and 74% in ADU.
  
  
  CONCLUSIONS
  Better planning for the transfer of pediatric patients with T1D to ADU is highly recommended, in order to avoid deterioration of control and/or loss of follow-up.
authors: Unidad de Diabetes Pediátrica, Hospital Universitario Ramón y Cajal, Universidad de Alcalá, Madrid, España. Electronic address: mmartinf.hrc@salud.madrid.org.
authors: M
authors: M
authors: Martín-Frías
authors: Unidad de Diabetes Pediátrica, Hospital Universitario Ramón y Cajal, Universidad de Alcalá, Madrid, España.
authors: M A
authors: MA
authors: Alvarez
authors: Unidad de Diabetes Pediátrica, Hospital Universitario Ramón y Cajal, Universidad de Alcalá, Madrid, España.
authors: R
authors: R
authors: Yelmo
authors: Unidad de Diabetes Pediátrica, Hospital Universitario Ramón y Cajal, Universidad de Alcalá, Madrid, España.
authors: M
authors: M
authors: Alonso
authors: Unidad de Diabetes Pediátrica, Hospital Universitario Ramón y Cajal, Universidad de Alcalá, Madrid, España.
authors: R
authors: R
authors: Barrio
mesh_terms: D000293:Adolescent; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000628:therapy; D005260:Female; D006748:Hospital Departments; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D060305:Transition to Adult Care; D055815:Young Adult
keywords: Adult diabetes unit; Diabetes mellitus tipo 1; Follow-up; Pediatric diabetes unit; Seguimiento; Transición; Transition; Type 1 diabetes; Unidad de diabetes de adultos; Unidad de diabetes pediátrica