Pediatric diabetes

Young people with type 1 diabetes are at increased risk for hospitalization for acute complications at the time of transition from pediatric to adult care, say researchers.

Young adults with diabetes type 1 show improvements in clinic attendance rates when a nonmedical transition coordinator is present during the changeover from pediatric to adult diabetes care, say the authors of a Canadian clinical trial.

Implementing a nursing protocol that includes point-of-care testing at triage reduces the time to diabetic ketoacidosis diagnosis and the number of unnecessary intravenous placements in the pediatric emergency department, say researchers.

Our clinical advisors discuss their EASD 2019 highlights, including new treatment options for children and older adults with type 2 diabetes, the complexities surrounding hypoglycemia prevention, and the implications of the VERIFY trial.

Agarwal S, Hilliard M, Butler A. Curr Diab Rep 2018; 18: 65. doi: 10.1007/s11892-018-1037-x

Vajravelu ME, Lee JM. Curr Diab Rep 2018; 18: 43. doi: 10.1007/s11892-018-1012-6

Lake AJ, Rees G, Speight J. Curr Diab Rep 2018; 18: 41. doi: 10.1007/s11892-018-1007-3

Fatehi F, Menon A, Bird D. Curr Diab Rep 2018; 18: 38. doi: 10.1007/s11892-018-1013-5

Cominato L et al. Curr Obes Rep 2018; Advance online publication. doi: 10.1007/s13679-018-0311-1

Children are less likely to present with diabetic ketoacidosis at the time of type 1 diabetes diagnosis if they previously had regular access to a healthcare provider, research published in CMAJ suggests.

Vanhorebeek I, Gunst J, Van den Berghe G. Curr Diab Rep 2018; 18: 17. doi: 10.1007/s11892-018-0988-2

US researchers call for tailored clinical programs and policies to improve the transition from pediatric to adult care, and thus prevent worsening glycemic control, in young adults with type 2 diabetes.

Guo H, Pavek M, Loth K. Curr Nutr Rep 2017; 6: 307–314. doi: 10.1007/s13668-017-0221-y

An open-label randomized trial shows that an appointment manager reduces disengagement from health services among patients with type 1 diabetes after the first year following their transition from pediatric to adult care.