Structured transition is associated with improved outcomes in diabetes
Structured transition is associated with improved outcomes in diabetes
This study aimed to assess the effectiveness of a structured transition tool for the successful transitioning of young people (YP) with type 1 diabetes from paediatric to adult diabetic services. In a single-centre retrospective observational study, case notes were reviewed for YP with type 1 diabetes transitioning between paediatric and adult services between 2011–2014. YP were split into those who had participated in the ‘Ready Steady Go’ (RSG) structured transition programme as part of their routine care, and those who had not (RSG versus non-RSG). Between group comparisons were made for changes in objective measures before and after transfer to adult services including: glycated haemoglobin (HbA1c), non-high density lipoprotein (HDL) cholesterol concentrations and non-elective diabetes-related hospital admissions. Case note documentation of advice given during consultations was also reviewed. Data were available for 106 YP. Of these, 71 had participated in the RSG transition programme. Programme use was associated with lower non-elective, diabetes-related hospital admissions and lower non-HDL cholesterol concentrations compared with historical controls. The rise in HbA1c typically observed in YP during early adult life did not occur in the intervention group. No differences were observed in total cholesterol concentrations and body mass index. Trends towards higher rates of documentation of key topic discussions in the RSG group were significant for contraception and pregnancy. Due to the observed improvements in markers of metabolic and diabetes control, this study supports the role of a structured transition tool such as the ‘Ready Steady Go’ programme for YP with type 1 diabetes.
18-22a
Harmer, Matthew J.
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Everitt, Lucy H.
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Parker, Lillie
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Davis, Nikki
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Connett, Gary
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Nagra, Arvind
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1 February 2022
Harmer, Matthew J.
e38c025d-79c5-41c5-a0c8-4e5aaa77ef59
Everitt, Lucy H.
e0e992cb-9897-44d9-84db-ec385f8c8b2c
Parker, Lillie
79cac2b5-1602-4b64-9914-f97c0bf0c7f2
Davis, Nikki
c267c8d2-00b4-4cde-8874-0caf444ef46f
Connett, Gary
55d5676c-90d8-46bf-a508-62eded276516
Nagra, Arvind
4f63337c-d2aa-4b66-910e-4220b5446c98
Harmer, Matthew J., Everitt, Lucy H., Parker, Lillie, Davis, Nikki, Connett, Gary and Nagra, Arvind
(2022)
Structured transition is associated with improved outcomes in diabetes.
Practical Diabetes, 39 (1), .
(doi:10.1002/pdi.2375).
Abstract
This study aimed to assess the effectiveness of a structured transition tool for the successful transitioning of young people (YP) with type 1 diabetes from paediatric to adult diabetic services. In a single-centre retrospective observational study, case notes were reviewed for YP with type 1 diabetes transitioning between paediatric and adult services between 2011–2014. YP were split into those who had participated in the ‘Ready Steady Go’ (RSG) structured transition programme as part of their routine care, and those who had not (RSG versus non-RSG). Between group comparisons were made for changes in objective measures before and after transfer to adult services including: glycated haemoglobin (HbA1c), non-high density lipoprotein (HDL) cholesterol concentrations and non-elective diabetes-related hospital admissions. Case note documentation of advice given during consultations was also reviewed. Data were available for 106 YP. Of these, 71 had participated in the RSG transition programme. Programme use was associated with lower non-elective, diabetes-related hospital admissions and lower non-HDL cholesterol concentrations compared with historical controls. The rise in HbA1c typically observed in YP during early adult life did not occur in the intervention group. No differences were observed in total cholesterol concentrations and body mass index. Trends towards higher rates of documentation of key topic discussions in the RSG group were significant for contraception and pregnancy. Due to the observed improvements in markers of metabolic and diabetes control, this study supports the role of a structured transition tool such as the ‘Ready Steady Go’ programme for YP with type 1 diabetes.
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More information
Accepted/In Press date: 9 June 2021
Published date: 1 February 2022
Additional Information:
Funding Information:
The authors would like to thank Professor Caroline Fall and Professor Anne-Sophie Darlington for their advice and support in the preparation of the manuscript.
Publisher Copyright:
Copyright © 2022 John Wiley & Sons, Ltd.
Copyright:
Copyright 2022 Elsevier B.V., All rights reserved.
Identifiers
Local EPrints ID: 455869
URI: http://eprints.soton.ac.uk/id/eprint/455869
ISSN: 2047-2897
PURE UUID: ee5441df-87e5-4aab-a52d-1a933e951389
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Date deposited: 07 Apr 2022 16:37
Last modified: 18 Mar 2024 03:46
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Contributors
Author:
Matthew J. Harmer
Author:
Lucy H. Everitt
Author:
Lillie Parker
Author:
Nikki Davis
Author:
Gary Connett
Author:
Arvind Nagra
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