Transfer from paediatric to adult care for young adults with Type 2 diabetes: the SEARCH for Diabetes in Youth Study

Transfer from paediatric to adult care for young adults with Type 2 diabetes: the SEARCH for... What's new?This is the first report of paediatric to adult healthcare transfer trends in young adults with youth‐onset Type 2 diabetes.This work studies a population‐based group of young adults with Type 2 diabetes across a wide geographic and demographic range, who are difficult to capture in research.Findings reveal substantial worsening of glycaemic control and loss to follow‐up during healthcare transfer, highlighting a previously unidentified issue for this vulnerable population.This research has implications for clinicians and healthcare systems, to focus on tailored approaches and policies for young adults with Type 2 diabetes in transition.IntroductionType 2 diabetes in youth has increased steadily on a global scale in the past decade, demanding attention to address this evolving public health emergency . In the USA, from 2001 to 2009, the SEARCH for Diabetes in Youth Study (SEARCH) estimated a 30.5% overall increase in the prevalence of Type 2 diabetes in US youth . Compared with adult‐onset Type 2 diabetes, youth tend to have more severe disease requiring earlier initiation of insulin, and experience more micro‐ and macrovascular complications as well as higher mortality . Thus, this growing population has the potential to place significant burden on health systems. The American Diabetes Association (ADA) http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Diabetic Medicine Wiley

Transfer from paediatric to adult care for young adults with Type 2 diabetes: the SEARCH for Diabetes in Youth Study

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Publisher
Wiley Subscription Services, Inc., A Wiley Company
Copyright
Diabetic Medicine © 2018 Diabetes UK
ISSN
0742-3071
eISSN
1464-5491
D.O.I.
10.1111/dme.13589
Publisher site
See Article on Publisher Site

Abstract

What's new?This is the first report of paediatric to adult healthcare transfer trends in young adults with youth‐onset Type 2 diabetes.This work studies a population‐based group of young adults with Type 2 diabetes across a wide geographic and demographic range, who are difficult to capture in research.Findings reveal substantial worsening of glycaemic control and loss to follow‐up during healthcare transfer, highlighting a previously unidentified issue for this vulnerable population.This research has implications for clinicians and healthcare systems, to focus on tailored approaches and policies for young adults with Type 2 diabetes in transition.IntroductionType 2 diabetes in youth has increased steadily on a global scale in the past decade, demanding attention to address this evolving public health emergency . In the USA, from 2001 to 2009, the SEARCH for Diabetes in Youth Study (SEARCH) estimated a 30.5% overall increase in the prevalence of Type 2 diabetes in US youth . Compared with adult‐onset Type 2 diabetes, youth tend to have more severe disease requiring earlier initiation of insulin, and experience more micro‐ and macrovascular complications as well as higher mortality . Thus, this growing population has the potential to place significant burden on health systems. The American Diabetes Association (ADA)

Journal

Diabetic MedicineWiley

Published: Jan 1, 2018

References

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