Evaluation of the transition program at the University Hospital of Reims from 2015 to 2020

Sonia Chibane (1) , Aurélie Berot (1) , Céline Lukas-Croisier (1) , Laure Dollez (1) , Sara Barraud (2) , Brigitte Delemer (2) , Géraldine Vitellius (3)

1 CHU Reims - Hôpital universitaire Robert Debré [Reims]
2 CRESTIC - Centre de Recherche en Sciences et Technologies de l'Information et de la Communication - EA 3804
3 PSMS - Performance, Santé, Métrologie, Société - EA 7507

ABSTRACT The transition of young type 1 diabetic (T1D) patients from pediatric to adult healthcare is a high‐risk period of loss to follow‐up. Since 2015, we have implemented a transition program, involving both pediatric and adult clinicians. The main objective was to evaluate the number of patients who had succeeded this transition program at 1 year. We found that 86% of patients underwent the complete transition program. However, adverse outcomes occurred in 19.1% of patients at 1 year but decreased to 2.9% after 3 years. In 63% of patients their HbA1c level had deteriorated 1 year after the transition day and this level stabilized at around 8% in the following 2 and 3 years. In patients who had improved HbA1c levels the body mass index was lower ( P = 0.03) and they lived alone ( P = 0.04). Although our program seemed to allow a better follow‐up than previously described, this study highlights the importance of further supporting this transition period.

Domaines: Médecine humaine et pathologie

Sonia Chibane, Aurélie Berot, Céline Lukas-Croisier, Laure Dollez, Sara Barraud, et al.. Evaluation of the transition program at the University Hospital of Reims from 2015 to 2020. Journal of Diabetes Investigation, 2024, 15 (10), pp.1519-1523. ⟨10.1111/jdi.14263⟩. ⟨hal-04662492⟩