Improved transition in care in diabetes

    From child care to adult care

    Young people aged 15 to 25 have the worst diabetes regulation of all age groups. The way of life and the developmental task of becoming of independence in this stage of life, are often in conflict with living with diabetes mellitus type 1 (DM1).


    One way to optimize transitional care, is by means of a transition clinic. Here, healthcare professionals from paediatric and adult services provide shared care at least once a year. International research of the outcomes of transition outpatient clinics for youth with diabetes shows better outcomes for young people who have attended a transition clinic compared to those who have not been treated in such an outpatient clinic. The improvement entails improved HbA1c values, increased self-monitoring, less no-show, less hospitalisation, and improved psychosocial outcomes.

    In the Netherlands, ten diabetes care teams have established a transition clinic within the Action Programme On Your Own Feet Ahead! (2008-2012). Still, little is known about the yields of interventions in transitional care (such as a transition clinic) in comparison to the standard transfer.