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Education Committee. Transition of adolescents with type 1 diabetes mellitus from pediatric teams to adult teams

Authors

  • Florencia Sofía Grabois Provincial Hospital of Neuquén, Professor at the National University of Comahue, Neuquén, Argentina
  • Ángeles Arrigo San Justo Children's Hospital, Province of Buenos Aires, Argentina
  • Gabriela Trabuco Tigre Hospital, Province of Buenos Aires, Argentina
  • Silvia Gorbán de Lapertosa National University of the Northeast (UNNE), Corrientes, Argentina
  • Eva López González Argentine Nutrition Society, Autonomous City of Buenos Aires, Argentina
  • María Lidia Ruiz Morosini Medical Center for Diabetes and Metabolic Diseases (CODIME), Autonomous City of Buenos Aires, Argentina

DOI:

https://doi.org/10.47196/diab.v58i1Sup.760

Keywords:

diabetes mellitus, adolescents, transition, education

Abstract

The transition period is defined as an active and multidisciplinary process that covers different medical, psychosocial and educational needs of the adolescent population with the aim of preventing complications and promoting adherence to treatment.

The primary objective is to train adolescents with diabetes to acquire autonomy and independence that allows adequate control of the disease. These skills are not achieved in most people before the ages of 16 to 18.

Therapeutic education programs for people with type 1 diabetes in the adolescent stage have the objectives of facilitating the transition process and achieving their autonomy and empowerment. Adolescence is a biological and social stage where many changes occur, to which is added the transition from the Pediatric to the Adult health care team.

This is considered a time of great challenges in diabetes care, so it must be planned and requires preparation from the patient and their family.

This recommendations are aimed at providing tools that help health teams specialized in diabetes to carry out transition education programs that reduce treatment abandonment and associated complications in adolescent patients with dbt1 during the transition from pediatric teams to healthcare teams. To do this, a bibliographic search of publications on the topic from the last 5 years was carried out. The most relevant ones were selected.

Various publications suggest that the transition from pediatric to adult care should be a planned and organized process rather than a sudden and unforeseen transfer. This includes carrying out education programs that accompany this stage of vulnerability.

Author Biographies

Florencia Sofía Grabois, Provincial Hospital of Neuquén, Professor at the National University of Comahue, Neuquén, Argentina

Pediatrician, University specialist in Nutrition and Childhood Diabetes, Coordinator of the Education Committee, Argentine Diabetes Society (SAD)

Ángeles Arrigo, San Justo Children's Hospital, Province of Buenos Aires, Argentina

Pediatrician, University Specialist in Nutrition and Childhood Diabetes

Gabriela Trabuco, Tigre Hospital, Province of Buenos Aires, Argentina

Lic. in Nutrition

Silvia Gorbán de Lapertosa, National University of the Northeast (UNNE), Corrientes, Argentina

Faculty of Medicine

Eva López González, Argentine Nutrition Society, Autonomous City of Buenos Aires, Argentina

Medical specialist in Nutrition, President of the Argentine Nutrition Society

María Lidia Ruiz Morosini, Medical Center for Diabetes and Metabolic Diseases (CODIME), Autonomous City of Buenos Aires, Argentina

Family Doctor specialized in Diabetes, Director of the Medical Center for Diabetes and Metabolic Diseases (CODIME)

References

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II. Barrio-Castellanos R. La transición del adolescente con diabetes a la unidad de adultos. Diabetes Práctica 2017;08(02):49-96.

III. González F, Roizena M, Rodríguez-Celina MM, et al. Validación español-argentina del cuestionario de transición a la atención médica del adulto en adolescentes con enfermedades crónicas. Arch Argent Pediatr 2017;115(1):18-27.

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XVI. Spaic T, Robinson T, Goldbloom E, et al. Closing the gap: results of the multicenter Canadian randomized controlled trial of structured transition in young adults with type 1 diabetes. Diabetes Care 2019;43(6):1018-1026.

XVII. Ricaa-Etcheverría I, Ferrer-García JC, Barrio R, Gómez-Gila AL, Forno JA, et al. Transición del paciente con diabetes tipo 1 desde la Unidad de Diabetes pediátrica a la Unidad de Diabetes de adultos. Documento de consenso. Sociedad Española de Diabetes, 2014. doi: 10.1016/j.avdiab.2014.03.002.

XVIII. Flor M V, Jansà I Morató M, et al. Results of a specific and structured program in the transition of young patients with type 1 diabetes from the paediatric center to an adult hospital. The experience of a decade. Endocrinol Diabetes Nutr 2021 Feb;68(2):82-91. doi: 10.1016/j.endinu.2020.06.001

Published

2024-04-01

How to Cite

Grabois, F. S., Arrigo, Ángeles, Trabuco, G., de Lapertosa, S. G., López González, E., & Ruiz Morosini, M. L. (2024). Education Committee. Transition of adolescents with type 1 diabetes mellitus from pediatric teams to adult teams. Journal of the Argentine Society of Diabetes, 58(1Sup), 23–27. https://doi.org/10.47196/diab.v58i1Sup.760

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