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Challenges of emerging adulthood-transition from paediatric to adult diabetes

World Journal of Diabetes 2014年第5期5卷 630-635页

作者： Gurmit Gill Ananth U Nayak Julie Wilkins Jo Hankey parakkal raffeeq George I Varughese Lakshminarayanan Varadhan Department of Diabetes and Endocrinology University Hospital of North Staffordshire NHS Trust Stoke on Trent ST46QG United Kingdom Department of Paediatrics University Hospital of North Staffordshire NHS Trust Stoke on Trent ST46QG United Kingdom

Diabetes mellitus is a complex condition with far reaching physical, psychological and psychosocial effects. These outcomes can be significant when considering the care of a youth transferring from paediatric through to adult diabetes services. The art of mastering a smooth care transfer is crucial if not pivotal to optimising overall diabetic control. Quite often the nature of consultation varies between the two service providers and the objectives and outcomes will mirror this. The purpose of this review is to analyse the particular challenges and barriers one might expect to encounter when transferring these services over to an adult care provider. Particular emphasis is paid towards the psychological aspects of this delicate period, which needs to be recognised and appreciated appropriately in order to understand the particular plights a young diabetic child will be challenged with. We explore the approaches that can be positively adopted in order to improve the experience for child, parents and also the multi- disciplinary team concerned with the overall delivery of this care. Finally we will close with reflection on the potential areas for future development that will ultimately aim to improve long-term outcomes and experiences of the young adolescent confronted with diabetes as well as the burden of disease and burden of cost of disease.

关键词： Transition Adolescent Young adult Diabetes

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