Researches

Transition des adolescents diabétiques de type 1

Project overview Transition is a key steṕ in the management of adolescents with type 1 diabetes (T1DM). It refers to the transition of adolescents from pediatric to adult care. ADA in 2009 and then the International Society for Pediatric and Adolescent Diabetes (ISPAD) in 2018 published́ recommendations for implementing a successful transition. They focus on the timing of the transition (based on psychosocial maturitý and family conditions), preparation before the transition (self-management of diabetes by the adolescent), identification of adult facilities that can manage this condition, and the importance of setting up a structured and coordinated transition program. The objective is to promote continuitý of care during the transition of adolescent T1DM to limit loss to follow-up and deterioration of metabolic balance.
Indeed, adolescence is a period of complex environmental, social, behavioral, and emotional factors, known as psychosocial factors. Diabetes imbalance is more common in adolescence. These difficulties may be related to hormonal changes (IGF1, pubertý, C-peptide...) or/and issues related to adolescents' search for autonomy. Psychosocial stressors, such as mental health issues, family climate, and distress related to T1DM, are known to play an important role in diabetes self-management and blood glucose control. Some patients with T1DM and low socioeconomic status (SES) may face additional challenges.
The goal is how can we support the transition of all adolescents/young adults with type 1 diabetes, including those with socioeconomic vulnerabilities?

Research team

Aurélie BEROT

Pédiatre

Activités récentes :

Publications récentes : Characteristics of newly diagnosed type 1 diabetes in paediatric and adult population from Reims University Hospital, France from 1997 to 2019.
Berot A, et al. Diabetes Metab. 2022 Mar

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