From paediatric to adult diabetes care: lost in transition

The progression from childhood to emerging adulthood involves major physical, sexual, psychological, and social developmental changes. Young people with diabetes face a multitude of challenges during the developmental stage of young adulthood, adjusting to the various transitions encountered in social, emotional, financial, educational, vocational, and family ties, among other issues. 1 Gregory JW Cameron FJ Joshi K et al. ISPAD clinical practice consensus guidelines 2022: diabetes in adolescence. Pediatr Diabetes. 2022; 23: 857-871 Crossref PubMed Scopus (7) Google Scholar , 2 White PH Cooley WC Transitions Clinical Report Authoring GroupAmerican Academy of PediatricsAmerican Academy of Family PhysiciansAmerican College of PhysiciansSupporting the health care transition from adolescence to adulthood in the medical home. Pediatrics. 2018; 142e20182587 Crossref Scopus (347) Google Scholar , 3 Monaghan M Helgeson V Wiebe D Type 1 diabetes in young adulthood. Curr Diabetes Rev. 2015; 11: 239-250 Crossref PubMed Scopus (105) Google Scholar Young people with diabetes need uninterrupted access to specialised medical care, peer support, and safe school and work environments, supporting them to gain the confidence to manage their condition independently.