Current Diabetes Reports

, Volume 12, Issue 5, pp 533–541 | Cite as

Transition to Adult Care for Youth with Type 1 Diabetes

  • Katharine C. Garvey
  • Jessica T. Markowitz
  • Lori M. B. Laffel
Treatment of Type 1 Diabetes (D Dabelea, Section Editor)


Emerging adults with type 1 diabetes are at risk for poor glycemic control, gaps in medical care, and adverse health outcomes. With the increasing incidence in type 1 diabetes in the pediatric population, there will be an increase in the numbers of teens and young adults transferring their care from pediatric providers to adult diabetes services in the future. In recent years, the topic of transitioning pediatric patients with type 1 diabetes to adult diabetes care has been discussed at length in the literature and there have been many observational studies. However, there are few interventional studies and, to date, no randomized clinical trials. This paper discusses the rationale for studying this important area. We review both observational and interventional literature over the past several years, with a focus on new research. In addition, important areas for future research are outlined.


Type 1 diabetes Transition Young adults Pediatrics Gaps in care Complications Adult care Glycemic control HbA1c Health care delivery 



Conflicts of interest: K.C. Garvey: has received grant support from a K12 Career Development Grant (K12DK094721); J.T. Markowitz: has received grant support from the NIDDK (1K23DK092335) to investigate the transition from pediatric to adult care; L.M.B. Laffel: has received grant support from Bayer and is PI/Program Director of an NIH K12 Career Development Grant (K12DK094721); has received donations from Eleanor Chesterman Beatson Fund, Maria Griffin Drury Fund, and Katharine Adler Astrove Youth Education Fund; has been a consultant for Johnson and Johnson, Eli Lilly and Co., Sanofi-Aventis, Bristol Myers Squibb, Menarini, LifeScan/Anima, and Oshadi Administrative Devices.


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Katharine C. Garvey
    • 1
  • Jessica T. Markowitz
    • 2
  • Lori M. B. Laffel
    • 2
  1. 1.Endocrinology, Boston Children’s HospitalHarvard Medical SchoolBostonUSA
  2. 2.Pediatric, Adolescent and Young Adult Section, Joslin Diabetes CenterHarvard Medical SchoolBostonUSA

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