Shivani Agarwal|Jennifer Raymond|Scott Isom|Jean M. Lawrence|Georgeanna J. Klingensmith|Catherine Pihoker|Sarah Corathers|Sharon Saydah|Ralph B. D’Agostino|Dana Dabelea
Transfer from paediatric to adult care for young adults with Type 2 diabetes: the <scp>SEARCH</scp> for Diabetes in Youth Study
University of Pennsylvania|Children's Hospital of Los Angeles|Wake Forest University|Kaiser Permanente|Children's Hospital Colorado|University of Colorado Denver|University of Washington|Seattle University|University of Cincinnati|University of Cincinnati Medical Center|Cincinnati Children's Hospital Medical Center|Centers for Disease Control and Prevention|Wake Forest University|University of Colorado Denver
abstract aim describe factors associated transfer paediatric adult care poor glycaemic control among young adults type 2 diabetes using search diabetes youth study methods young adults type 2 diabetes included baseline search visit paediatric care lt 18 years 1 followup search visit thereafter 1825 years visit hba 1c bmi selfreported demographic healthcare provider data collected associations demographic factors transfer care poor glycaemic control hba 1c 75 mmolmol 90 explored multivariable logistic regression results 182 young adults type 2 diabetes 36 male 75 minority 87 obesity included n 102 56 reported transfer adult care followup substantial proportion n 28 15 reported care 29 transfer duration diabetes odds ratio 14 95 confidence interval 95 ci 11 18 age diagnosis 18 95 ci 14 24 predicted leaving paediatric care transfer adult care associated higher likelihood poor glycaemic control followup adult 45 95 ci 18 112 none 46 95 ci 14 146 independent sex age raceethnicity baseline hba 1c level conclusions young adults type 2 diabetes exhibit worsening glycaemic control loss followup transfer paediatric adult care study highlights need development tailored clinical programmes healthcare system policies support growing population young adults youthonset type 2 diabetes