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Peer-reviewedCC BY 4.0Diabetologia

The transition of youth with diabetes from paediatric to adult diabetes care services: a consensus report of the joint working group of the International Society for Pediatric and Adolescent Diabetes (ISPAD), the European Association for the Study of Diabetes (EASD) and the American Diabetes Association (ADA)

  • Carine de Beaufort1,2,3
  • Steven James4,5,6
  • Jill Weissberg-Benchell7
  • Apoorva Gomber8
  • Laura Cudizio9
  • Nisa M. Maruthur10
  • Sarah K. Lyons11
  • Frank Snoek12
  • Sze May Ng13,14
  • Aleksandra Araszkiewicz15
  • Eva Hagström Toft16,17
17 affiliations
  1. 1Faculty of Science, Technology and Medicine, University of Luxembourg, Esch-Belval, Luxembourg
  2. 2OBEDIA-Kids, Centre Hospitalier de Luxembourg, Luxembourg, Luxembourg
  3. 3Department of Pediatrics, University Hospital of Brussels, Brussels, Belgium
  4. 4School of Health, University of the Sunshine Coast, Petrie, QLD Australia
  5. 5Department of Medicine, University of Melbourne, Parkville, VIC Australia
  6. 6School of Medicine, Western Sydney University, Campbelltown, NSW Australia
  7. 7Pritzker Department of Psychiatry and Behavioral Health, Ann and Robert H. Lurie Children’s Hospital, Chicago, IL USA
  8. 8Division of Global Health Equity in the Department of Medicine, Brigham and Women’s Hospital, Boston, MA USA
  9. 9Santa Casa of São Paulo, São Paulo, Brazil
  10. 10Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD USA
  11. 11Department of Pediatrics, Baylor College of Medicine, Houston, TX USA
  12. 12Department of Medical Psychology, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands
  13. 13Faculty of Health, Social Care and Medicine, Edge Hill University, Ormskirk, UK
  14. 14Department of Paediatrics, Mersey and West Lancashire Teaching Hospitals NHS Trust, Ormskirk, UK
  15. 15Department of Internal Medicine and Diabetology, Poznan University of Medical Sciences, Poznan, Poland
  16. 16Department of Clinical Science and Education, Karolinska Institute at Södersjukhuset, Stockholm, Sweden
  17. 17Ersta Hospital, Stockholm, Sweden
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Abstract

Young adulthood is a period of significant and unique physiological, psychological, sexual and social upheaval. Related challenges can have an impact on effective diabetes self-management, with high rates of unplanned healthcare use recorded for many, and consequent increases in the risks of premature morbidity and mortality. Healthcare professionals need guidance in delivering transition support for adolescents and young adults with diabetes. This would help to facilitate the formulation and implementation of local policies and procedures, enabling guidelines to be translated into practice and improving transition of care readiness. This led ISPAD, EASD and ADA to convene a working group to produce a consensus report on the transition from paediatric to adult diabetes healthcare services. The ACCORD and AGREE II recommendations for the development of consensus reports and clinical guidelines, respectively, were followed. Existing diabetes-specific recommendations on the transition of care, published statements, a prior position paper, general recommendations and online toolkits were initially identified and reviewed. Current evidence was then systematically reviewed, supplemented with primary data on the perceptions and experiences of healthcare professionals and of people with diabetes and their caregivers from global surveys. Evidence with a grading of A or B was automatically included in the consensus statements; evidence with a C or E grading was subjected to a Delphi survey for validation. Consensus was obtained for 31 statements on the full transition of care continuum and the three unique stages of pre-transfer, transfer and post-transfer. This consensus report should be viewed as a guide and adjusted to local settings.

Graphical Abstract:

Supplementary Information: The online version contains peer-reviewed but unedited supplementary material available at https://doi.org/10.1007/s00125-026-06803-5.

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Cite

BibTeXRIS
BibTeX
@article{beaufort2026transition,
  title = {{The transition of youth with diabetes from paediatric to adult diabetes care services: a consensus report of the joint working group of the International Society for Pediatric and Adolescent Diabetes (ISPAD), the European Association for the Study of Diabetes (EASD) and the American Diabetes Association (ADA)}},
  author = {Carine de Beaufort and Steven James and Jill Weissberg-Benchell and Apoorva Gomber and Laura Cudizio and Nisa M. Maruthur and Sarah K. Lyons and Frank Snoek and Sze May Ng and Aleksandra Araszkiewicz and Eva Hagström Toft},
  journal = {Diabetologia},
  year = {2026},
  month = sep,
  doi = {10.1007/s00125-026-06803-5},
  url = {https://doi.org/10.1007/s00125-026-06803-5},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - The transition of youth with diabetes from paediatric to adult diabetes care services: a consensus report of the joint working group of the International Society for Pediatric and Adolescent Diabetes (ISPAD), the European Association for the Study of Diabetes (EASD) and the American Diabetes Association (ADA)
AU  - Carine de Beaufort
AU  - Steven James
AU  - Jill Weissberg-Benchell
AU  - Apoorva Gomber
AU  - Laura Cudizio
AU  - Nisa M. Maruthur
AU  - Sarah K. Lyons
AU  - Frank Snoek
AU  - Sze May Ng
AU  - Aleksandra Araszkiewicz
AU  - Eva Hagström Toft
PY  - 2026
DA  - 2026/09/14
JO  - Diabetologia
DO  - 10.1007/s00125-026-06803-5
UR  - https://doi.org/10.1007/s00125-026-06803-5
AB  - Young adulthood is a period of significant and unique physiological, psychological, sexual and social upheaval. Related challenges can have an impact on effective diabetes self-management, with high rates of unplanned healthcare use recorded for many, and consequent increases in the risks of premature morbidity and mortality. Healthcare professionals need guidance in delivering transition support for adolescents and young adults with diabetes. This would help to facilitate the formulation and implementation of local policies and procedures, enabling guidelines to be translated into practice and improving transition of care readiness. This led ISPAD, EASD and ADA to convene a working group to produce a consensus report on the transition from paediatric to adult diabetes healthcare services. The ACCORD and AGREE II recommendations for the development of consensus reports and clinical guidelines, respectively, were followed. Existing diabetes-specific recommendations on the transition of care, published statements, a prior position paper, general recommendations and online toolkits were initially identified and reviewed. Current evidence was then systematically reviewed, supplemented with primary data on the perceptions and experiences of healthcare professionals and of people with diabetes and their caregivers from global surveys. Evidence with a grading of A or B was automatically included in the consensus statements; evidence with a C or E grading was subjected to a Delphi survey for validation. Consensus was obtained for 31 statements on the full transition of care continuum and the three unique stages of pre-transfer, transfer and post-transfer. This consensus report should be viewed as a guide and adjusted to local settings.  Graphical Abstract:  Supplementary Information: The online version contains peer-reviewed but unedited supplementary material available at https://doi.org/10.1007/s00125-026-06803-5.
SN  - 0012-186X
SN  - 1432-0428
ER  -