2080-P: Differences in Transfer of Care in Type 1 and Type 2 Diabetes

IF 9.3 1区医学 Q1 ENDOCRINOLOGY & METABOLISM

Diabetes Pub Date : 2026-06-11 DOI:10.2337/db26-2080-p

NATALIE CONBOY, JIAFENG LI, ABIGAEL FINKLE, TATIANA MCINTYRE, SEAN DELACEY

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引用次数: 0

Abstract

Introduction and Objective: Young adults with diabetes face challenges transferring to adult care. Little is known about transfer in young adults with type 2 diabetes (YT2D). We hypothesized that YT2D would have lower rates of successful transfer than young adults with type 1 diabetes (YT1D). Methods: We conducted a retrospective review of transition-age patients (≥18 years old) with type 1 (N=636) or type 2 (N=305) diabetes treated over five years at a pediatric center. Groups were compared using Mann Whitney U tests or chi-square tests. Logistic regressions adjusted for covariates, used diabetes type as the predictor, and used successful transfer, loss to follow-up, and type of adult provider as outcomes. Successful transfer was defined as transfer <6 months after pediatric care; loss to follow-up was defined as no visit within 6 months and no scheduled appointment. Results: Compared to YT1D, YT2D were more often publicly insured (83.6% vs 41.7%), had lower HbA1c (6.4% vs 7.8%), and were less often non-Hispanic white (7.5% vs 56%) [p<0.001]. YT2D were frequently lost to follow-up (42.3%) and often transferred to a primary care provider (PCP) (45.6%). They had lower odds of successful transfer (OR: 0.55, CI: 0.3-0.98, p=0.043) and higher odds of PCP transfer (OR 8.97, CI: 3.85-22.3) p<0.001). Conclusion: Transition-age YT2D were frequently lost to follow-up and often saw a PCP for diabetes care. They were less likely than YT1D to successfully transfer to adult care. Disclosure N. Conboy: None. J. Li: None. A. Finkle: None. T. McIntyre: None. S. DeLacey: None. Funding Manne Research Institute Voucher Program; Medical-Dental Staff Lurie-Based Trainee Research grant

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2080-P: 1型和2型糖尿病患者护理转移的差异

简介和目的：年轻的糖尿病患者面临着转移到成人护理的挑战。对于年轻成人2型糖尿病（YT2D）的转移知之甚少。我们假设YT2D的成功转移率低于年轻1型糖尿病患者（YT1D）。方法：我们对在儿科中心治疗5年以上的1型（N=636）或2型（N=305）糖尿病过渡年龄患者（≥18岁）进行了回顾性研究。各组间比较采用Mann Whitney U检验或卡方检验。Logistic回归调整协变量，使用糖尿病类型作为预测因子，并使用成功转移，随访损失和成人提供者类型作为结果。成功转移定义为转移&；lt；儿科护理后6个月；失去随访的定义为6个月内没有访问，没有预约。结果：与YT1D相比，YT2D更经常参加公共保险（83.6%对41.7%），HbA1c更低（6.4%对7.8%），非西班牙裔白人更少（7.5%对56%）[p<0.001]。YT2D患者经常失去随访（42.3%），并经常转移到初级保健提供者（45.6%）。他们成功转移的几率较低（OR: 0.55, CI: 0.3-0.98, p=0.043），而PCP转移的几率较高（OR 8.97, CI: 3.85-22.3）。结论：过渡年龄的YT2D患者经常失去随访，经常看到PCP治疗糖尿病。他们比YT1D更不可能成功转移到成人护理中心。康博伊：没有。J. Li：没有。A.芬克尔：没有。麦金太尔：没有。德莱西：没有。资助曼恩研究所代金券计划；医疗牙科人员实习研究补助金

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来源期刊

Diabetes 医学-内分泌学与代谢

CiteScore

12.50

自引率

2.60%

发文量

1968

审稿时长

1 months

期刊介绍： Diabetes is a scientific journal that publishes original research exploring the physiological and pathophysiological aspects of diabetes mellitus. We encourage submissions of manuscripts pertaining to laboratory, animal, or human research, covering a wide range of topics. Our primary focus is on investigative reports investigating various aspects such as the development and progression of diabetes, along with its associated complications. We also welcome studies delving into normal and pathological pancreatic islet function and intermediary metabolism, as well as exploring the mechanisms of drug and hormone action from a pharmacological perspective. Additionally, we encourage submissions that delve into the biochemical and molecular aspects of both normal and abnormal biological processes. However, it is important to note that we do not publish studies relating to diabetes education or the application of accepted therapeutic and diagnostic approaches to patients with diabetes mellitus. Our aim is to provide a platform for research that contributes to advancing our understanding of the underlying mechanisms and processes of diabetes.