scholarly journals Medical and psychological outcomes for young adults with Type 1 diabetes: no improvement despite recent advances in diabetes care

2013 ◽  
Vol 31 (2) ◽  
pp. 227-231 ◽  
Author(s):  
B. Johnson ◽  
J. Elliott ◽  
A. Scott ◽  
S. Heller ◽  
C. Eiser
Keyword(s):  
Type 1 Diabetes ◽  
Young Adults ◽  
Diabetes Care ◽  
Psychological Outcomes ◽  
Recent Advances

2290-PUB: Depression and Anxiety Screening for Young Adults with Type 1 Diabetes in Transition from Pediatric to Adult Diabetes Care

Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 2290-PUB
Author(s):  
HARPREET NAGRA ◽  
FARAHNAZ JOARDER ◽  
LAURA ANDREAS ◽  
KIMBERLY KRAUS
Keyword(s):  
Type 1 Diabetes ◽  
Young Adults ◽  
Diabetes Care ◽  
Depression And Anxiety ◽  
Adult Diabetes ◽  
Anxiety Screening

926-P: HbA1c Monitoring among Adolescents and Young Adults with Type 1 Diabetes: Impact of Diabetes Care Provider Type

Diabetes ◽  
2021 ◽  
Vol 70 (Supplement 1) ◽  
pp. 926-P
Author(s):  
LAUREN E. WISK ◽  
MARY BETH LANDRUM ◽  
CHRISTINA FU ◽  
ALYNA CHIEN
Keyword(s):  
Type 1 Diabetes ◽  
Young Adults ◽  
Care Provider ◽  
Diabetes Care ◽  
Adolescents And Young Adults ◽  
Provider Type

scholarly journals Disclosure of psychosocial stressors affecting diabetes care among uninsured young adults with Type 1 diabetes

2013 ◽  
Vol 30 (9) ◽  
pp. 1140-1144 ◽  
Author(s):  
E. A. Pyatak ◽  
P. Sequeira ◽  
A. L. Peters ◽  
L. Montoya ◽  
M. J. Weigensberg
Keyword(s):  
Type 1 Diabetes ◽  
Young Adults ◽  
Diabetes Care ◽  
Psychosocial Stressors

scholarly journals Health Care Transition in Young Adults with Type 1 Diabetes: Barriers to Timely Establishment of Adult Diabetes Care

2013 ◽  
Vol 19 (6) ◽  
pp. 946-952 ◽  
Author(s):  
Katharine Garvey ◽  
Howard Wolpert ◽  
Lori Laffel ◽  
Erinn Rhodes ◽  
Joseph Wolfsdorf ◽  
...  
Keyword(s):  
Health Care ◽  
Type 1 Diabetes ◽  
Young Adults ◽  
Diabetes Care ◽  
Care Transition ◽  
Health Care Transition ◽  
Adult Diabetes

scholarly journals Challenges contributing to disrupted transition from paediatric to adult diabetes care in young adults with Type 1 diabetes

2014 ◽  
Vol 31 (12) ◽  
pp. 1615-1624 ◽  
Author(s):  
E. A. Pyatak ◽  
P. A. Sequeira ◽  
R. Whittemore ◽  
C. P. Vigen ◽  
A. L. Peters ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Young Adults ◽  
Diabetes Care ◽  
Adult Diabetes

scholarly journals Young Adulthood and Unique Challenges in Living with Type 1 Diabetes

2018 ◽  
Vol 7 (1) ◽  
pp. 1-5
Author(s):  
Michael James Curtis ◽  
Samereh Abdoli ◽  
Joanne Hall
Keyword(s):  
Type 1 Diabetes ◽  
Young Adults ◽  
Diabetes Care ◽  
Life Style ◽  
Behavioral Interventions ◽  
Diabetes Education ◽  
Care Systems ◽  
Psychosocial Challenges

Type 1 diabetes (T1D) presents young adults with unique challenges in managing a diabetes while they navigate transition from adolescence to adulthood. This article presents a narrative review of literature pertaining to challenges surrounding diabetes care in young adults with type 1 diabetes (T1D). Methods: A literature search was conducted in CINAHL, PubMed and Web of Science for studies related to diabetes care in young adults with T1D. The search was completed using various combinations of diabetes, T1D, diabetes care/management, challenges, and barriers in English. Results: Based on the study findings the most challenges experienced by young adults were associated to “psychosocial challenges”, “life style change”, “lack of supportive network”, and “delivery of diabetes care.” However, diabetes education particularly related to life style is necessary; individualized psychosocial and behavioral interventions should be considered as an essential part of diabetes care systems. A more supportive health care system and community can impact positively on quality of life and diabetes care in young adults living with T1D.

Health Care Transition in Type 1 Diabetes: Perspectives of Diabetes Care and Education Specialists Caring for Young Adults

2020 ◽  
Vol 46 (3) ◽  
pp. 252-260
Author(s):  
Eveline R. Goethals ◽  
Rebecca O. La Banca ◽  
Peter W. Forbes ◽  
Gabriela H. Telo ◽  
Lori M. Laffel ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Type 1 Diabetes ◽  
Young Adults ◽  
Mental Health Professionals ◽  
Diabetes Care ◽  
Care Delivery ◽  
Easy Access ◽  
Health Care Transition

Purpose The purpose of the study was to describe experiences reported by diabetes care and education specialists caring for young adults with type 1 diabetes and to assess perceived deficiencies in clinical resources and barriers to care delivery. Methods A 60-item electronic survey was fielded through email to members of the Association of Diabetes Care and Education Specialists (ADCES). Respondents completed a survey consisting of: (1) clinical practice characteristics and respondents’ demographics; (2) health care transition components (eg, referrals) and their perceived importance; (3) framework of current clinical diabetes care delivery and perceived need for additional support; and (4) perceived barriers regarding clinical care delivery. Statistical analyses included descriptive statistics, chi-square tests, and logistic regression. Results Respondents (N = 531, 96% female, median years in practice = 13; interquartile range = 7-20) represented 49 states plus the District of Columbia. Although 88% of respondents reported reviewing pediatric records as important/very important, only 22% often/always reviewed them. Although 58% of respondents noted easy access to mental health care providers for young adults, 50% stated a need for additional resources. Furthermore, diabetes care and education specialists without easy access to mental health professionals were significantly more likely to report barriers to diabetes management for young adults with depression, substance abuse, eating disorders, and developmental disabilities. Conclusion Study findings highlight modifiable factors that may improve diabetes care coordination for transitioning young adults. Uniform approaches and increased access to trained mental health professionals may help support diabetes care and education specialists in their care of young adults with type 1 diabetes.

scholarly journals Nationwide digital/virtual diabetes care of children, adolescents and young adults with type 1 diabetes during a COVID-19 pandemic in Slovenia

2020 ◽  
Vol 89 (11-12) ◽  
pp. 626-633
Author(s):  
Klemen Dovc ◽  
Simona Rajtar Osredkar ◽  
Darja Smigoc Schweiger ◽  
Tadej Battelino ◽  
Natasa Bratina
Keyword(s):  
Type 1 Diabetes ◽  
Young Adults ◽  
Glycaemic Control ◽  
Diabetes Care ◽  
Adolescents And Young Adults ◽  
Diabetes Registry ◽  
Short Period ◽  
Virtual Visits ◽  
The Government

Background: During coronavirus pandemic disease 2019 (COVID-19) the Government of the Republic of Slovenia introduced a series of restrictive measures including outpatient clinics closure and a cessation of all elective healthcare visits. To sustain attentiveness to optimal diabetes care provision, the vast majority of appointments for individuals with type 1 diabetes were transitioned to video digital/virtual visits. Methods: In this prospective observational study, we compared glycaemic control of children, adolescents and young adults with type 1 diabetes from the Slovenian National Childhood Type 1 Diabetes Registry during the pre-lockdown and lockdown periods. We approached all individuals with type 1 diabetes, who had a visit scheduled between 15th of March and 20th of May 2020. Results: Out of 326 subjects, 313 (96% response rate) attended a video digital/virtual visit. Glycaemic control was not impaired during the lockdown period in individuals with type 1 diabetes and has even slightly improved. Mean glucose was 9.3 mmol/l (IQR 8.3–10.3) during the lockdown, compared to 9.5 mmol/l (IQR 8.2–10.9), p = 0.001 during the pre-lockdown period. Conclusion: In a short period of time, we established effective workflows to enable video digital/virtual visits that provided individuals with type 1 diabetes good clinical support and prevented deterioration of this chronic condition and its acute complications during the COVID-19 pandemic.

scholarly journals Health Care Transition in Youth With Type 1 Diabetes and an A1C >9%: Qualitative Analysis of Pre-Transition Perspectives

2020 ◽  
Author(s):  
Elise Schlissel Tremblay ◽  
Jessica Ruiz ◽  
Tess Buccigrosso ◽  
Taylor Dean ◽  
Katharine C. Garvey
Keyword(s):  
Type 1 Diabetes ◽  
Young Adults ◽  
Qualitative Analysis ◽  
Diabetes Care ◽  
Gradual Transition ◽  
Special Focus ◽  
Care Providers ◽  
Adult Care ◽  
Gradual Process

<b>Objective. </b>To explore expectations for transition to adult care and experiences with transition planning among adolescents and young adults with type 1 diabetes and an A1C >9% at a tertiary care U.S. pediatric center. <p><b> Methods. </b>We conducted semi-structured interviews in a purposive sample of patients 14–23 years of age who had had type 1 diabetes for at least 1 year and had an A1C >9%. A multidisciplinary team conducted iterative thematic analysis with deductive and inductive coding aided by NVivo software.</p> <p><b> Results. </b>Fourteen subjects participated (nine adolescents and five young adults, mean age 17.1 ± 3.2 years, 57% male, 79% Caucasian, 14% Hispanic, diabetes duration 8.2 ± 4.6 years, mean A1C 10.0 ± 0.8% for adolescents and 10.1 ± 0.7% for young adults). Qualitative analysis yielded four key themes. The first was lack of formal preparation; participants of all ages demonstrated a lack of preparation for transition and ignorance about the process, describing it as coming “out of the blue.” The second was a desire for delayed and gradual transition; participants wanted to defer being “serious” about transition to a later/uncertain date, with a preference to “wait until I’m older” among all ages. Participants described ideal transition as a gradual, process taking place “a little at a time.” The third was attachment to pediatric providers; participants demonstrated a nearly universal attachment to and “familiarity” with their pediatric diabetes care providers and expressed worries about an “uncomfortable” transition to adult providers. The fourth was concern about an impersonal adult care setting: participants perceived adult care as “formal,” “scarier,” and “tougher,” with increased criticism about poor control; participants expressed fear that adult providers would not “know me” or appreciate “my diabetes journey.”</p> <p><b> Conclusion. </b>We demonstrated a lack of transition preparation and anxiety about transition and adult care among youth with type 1 diabetes and elevated A1C. Our results may help guide early, iterative pediatric transition counseling, with a special focus on addressing attachment and fears about adult diabetes care. </p>

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