An Adult Health Care–Based Pediatric to Adult Transition Program for Emerging Adults With Type 1 Diabetes

Shivani Agarwal, Jennifer K. Raymond, Mark H. Schutta, Serena Cardillo, Victoria A. Miller, Judith A. Long

Research output: Contribution to journalArticle

11 Scopus citations


Purpose: The purpose of the study was to evaluate an adult health care program model for emerging adults with type 1 diabetes transitioning from pediatric to adult care. Methods: Evaluation of the Pediatric to Adult Diabetes Transition Clinic at the University of Pennsylvania included a cohort of 72 emerging adults with type 1 diabetes, ages 18 to 25 years. Data were extracted from transfer summaries and the electronic medical record, including sociodemographic, clinical, and follow-up characteristics. Pre- and postprogram assessment at 6 months included mean daily blood glucose monitoring frequency (BGMF) and glycemic control (A1C). Paired t tests were used to examine change in outcomes from baseline to 6 months, and multiple linear regression was utilized to adjust outcomes for baseline A1C or BGMF, sex, diabetes duration, race, and insulin regimen. Open-ended survey responses were used to assess acceptability amongst participants. Results: From baseline to 6 months, mean A1C decreased by 0.7% (8 mmol/mol), and BGMF increased by 1 check per day. Eighty-eight percent of participants attended ≥2 visits in 6 months, and the program was rated highly by participants and providers (pediatric and adult). Conclusions: This study highlights the promise of an adult health care program model for pediatric to adult diabetes transition.

Original languageEnglish (US)
Pages (from-to)87-96
Number of pages10
JournalDiabetes Educator
Issue number1
StatePublished - Jan 1 2017
Externally publishedYes


ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Health Professions (miscellaneous)

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