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 Beaufort; Steven James; Jill Weissberg-Benchell; Apoorva Gomber; Laura Cudizio; Nisa M Maruthur; Sarah K Lyons; Frank Snoek; Sze May Ng; Aleksandra Araszkiewicz; Eva Hagström Toft

doi:10.1007/s00125-026-06803-5

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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)

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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 Beaufort, Steven James, Jill Weissberg-Benchell, Apoorva Gomber, Laura Cudizio, Nisa M Maruthur, Sarah K Lyons, Frank Snoek, Sze May Ng, Aleksandra Araszkiewicz, …

Diabetologia, Vol.Advanced access

14-Sep-2026

DOI: https://doi.org/10.1007/s00125-026-06803-5

PMID: 42734653

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Abstract

Paediatric

Adult

Transition of care youth

Diabetes

Adolescent

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.

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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)
Authors: Carine de Beaufort (Corresponding Author) - Centre Hospitalier de Luxembourg
Steven James - University of the Sunshine Coast
Jill Weissberg-Benchell - Lurie Children's Hospital
Apoorva Gomber - Brigham and Women's Hospital
Laura Cudizio
Nisa M Maruthur - Johns Hopkins University
Sarah K Lyons - Baylor College of Medicine
Frank Snoek - Amsterdam University Medical Centers
Sze May Ng - Lancashire Teaching Hospitals NHS Foundation Trust
Aleksandra Araszkiewicz - Poznan University of Medical Sciences
Eva Hagström Toft - Karolinska Institutet
Publication details: Diabetologia, Vol.Advanced access
Publisher: Springer
DOI: 10.1007/s00125-026-06803-5
ISSN: 1432-0428
PMID: 42734653
Copyright note: This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
Data Availability: The data that support the systematic review and Delphi survey are available on request. Data that support the perceptions and experiences of healthcare professionals and of people with diabetes and their caregivers are not available based on ethical approval constraints.
Organisation Unit: School of Health - Nursing
Language: English
Record Identifier: 991260050102621
Output Type: Journal article

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