Type 1 diabetes adolescent transition study

Objectives: Adolescents with type 1 diabetes experience dramatic excursions in blood sugars as they transition to adult care. Trials on single interventions have struggled to demonstrate lasting improvements in clinical outcomes. Thus, the purpose of this study was to evaluate the effect of a multi-component intervention on glycemic control, clinic attendance, and diabetes distress amongst adolescents with type 1 diabetes transitioning to adult health services.

Design: Prospective controlled quasi-experimental study.

Setting: Adolescents with type 1 diabetes from an urban academic pediatric hospital (control group) and a community regional hospital (intervention group) were recruited and followed for 1 year after their last pediatric diabetes visit.

Participants: 101 adolescents with type 1 diabetes transitioning to adult care, including 68 from the control group and 33 from the intervention group.

Interventions: The intervention group had access to (1) a diabetes nurse tran...