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Paediatr Child Health. 2005 Jan;10(1):31-4.

Exploring a black hole: Transition from paediatric to adult care services for youth with diabetes.

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  • 1Alberta Children's Hospital, Department of Paediatrics, University of Calgary, Calgary, Alberta.


DURING THE PASSAGE FROM ADOLESCENCE TO ADULTHOOD, INDIVIDUALS ARE EXPECTED TO GO THROUGH THREE PSYCHOLOGICAL STAGES: identity formation (finding out who they are), intimacy (establishment of stable intimate relationships) and generativity (productive lifestyle, career or vocational realization). Having diabetes may complicate this process. Further, the period of late adolescence and early adulthood coincides with the transition of care from paediatric to adult care services. This transition is a time when the individual is particularly at risk for loss of medical follow-up and medical complications. The present article reviews the current state of knowledge on psychosocial maturation in youth with diabetes and the process of transition of care from paediatric to adult care services.


Adolescence; Transition of care; Type 1 diabetes; Young adults

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