Archives of Disease in Childhood | 2019
G568(P)\u2005Transition of young people from paediatric care to adult care with diabetes and effect on their average hba1c
Abstract
Aim To investigate the effect of transition on young diabetic patients due to transition in care from Paediatrics to adult care against NICE quality standards. Further look in to how pre and post transition support influence the patient’s Diabetes by evaluating the change in average HbA1C pre and post transition. We aim to identify good practice, gaps and develop a more comprehensive transition pathway and to set targets to achieve the desired results. Method 15 patients were chosen who were all type one diabetic and had transitioned from paediatric care into adult care. Average HbA1c was obtained prior to transition to adult care and was compared with average HbA1C post transition. The parameters considered in the study includes: DOB, sex, Transitional Age, named worker (during transition process), DNA (Did not attend) and Average HBA1c. Results Average HBA1c 12 months prior to transition Average HBA1c post transition 47–41.5 93–59 66.5–87 124–141 104–156 88–90 116–100 129.5–118 77- not available awaiting referral Sept 18 113- DNA no results since 68.5–80 81.5 -DNA no results since 91–98 77–98 118- DNA no results since Our investigation showed that on average there was a 7.35% increase in HbA1c after patients have transitioned to adult care. Conclusion The investigation shows an average elevation of HbA1c after patients had transitioned to adult care. This could be due to lack of attention patients receive as they are no longer treated like a child but like an adult in the adult care services. Furthermore, it could be due to an increased pressure in adult services which leads to less attention/support provided to young patients. One might say it could be due to increased pressure on young adults as they are going through a lot of changes in their life, which could be stressful and lead them to neglect their health e.g. university stress, adolescence etc.