{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T13:25:41Z","timestamp":1769606741675,"version":"3.49.0"},"reference-count":35,"publisher":"Georg Thieme Verlag KG","issue":"10","funder":[{"DOI":"10.13039\/501100010215","name":"Deutsche Diabetes Gesellschaft","doi-asserted-by":"crossref","award":["DDG-Projektf\u00f6rderung"],"award-info":[{"award-number":["DDG-Projektf\u00f6rderung"]}],"id":[{"id":"10.13039\/501100010215","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Exp Clin Endocrinol Diabetes"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Aims Transition from pediatric to adult care is difficult for patients\n                    with chronic diseases. In this study, factors associated with metabolic control\n                    in childhood-onset type 1 diabetes (T1D) after transfer to adult care were\n                    analyzed.<\/jats:p><jats:p>\n          Methods Overall, 224 persons with T1D were contacted yearly from 1998 to\n                    2019. They voluntarily answered a questionnaire about their current hemoglobin\n                    A1c (HbA1c) levels, diabetes-associated complications, kind of care, living\n                    conditions, and family situation. Then, mixed longitudinal-cross-sectional\n                    analyses were carried out.<\/jats:p><jats:p>\n          Results Overall, 190 patients answered at least once (mean age: 26.6\n                    years). Diabetes complications were mentioned by 10 patients (5\n                    microalbuminuria, 5 retinopathy). Most patients (92.6%) were in\n                    diabetes-specific care during the first year after transfer, with a trend to\n                    leave diabetes-specific care during the observation period. Patients in\n                    diabetes-specific care displayed lower HbA1c levels\n                    (%\/mmol\/mol) (7.1\/54 vs. 7.5\/58).\n                    An important predictor for HbA1c after transfer was HbA1c during the year before\n                    transfer (r=0.67, p &lt;0.001). Patients living alone showed no\n                    difference in HbA1c levels from those living with their parents. Married\n                    patients had lower HbA1c levels (7.0\/53 vs. 7.3\/56,\n                    p&lt;0.05) than unmarried ones. Patients with children (15.8%)\n                    presented lower HbA1c levels (6.9\/52 vs. 7.3\/56, p\n                    &lt;0.01) than those without.<\/jats:p><jats:p>\n          Conclusions Good metabolic results are favored in patients followed-up in\n                    specialized care, are married, and are parents. We recommend transfer to a\n                    diabetologist with experience in T1D at an individual age.<\/jats:p>","DOI":"10.1055\/a-2132-9585","type":"journal-article","created":{"date-parts":[[2023,7,19]],"date-time":"2023-07-19T22:50:58Z","timestamp":1689807058000},"page":"532-538","source":"Crossref","is-referenced-by-count":5,"title":["Transition From Childhood to Adult Care in Patients with Type 1\n                    Diabetes: 20 Years of Experience From the T\u00fcbinger Transition\n                    Study"],"prefix":"10.1055","volume":"131","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3090-6762","authenticated-orcid":false,"given":"Roland","family":"Schweizer","sequence":"additional","affiliation":[{"name":"Pediatric Diabetology, University Children\u2019s Hospital,\n                    T\u00fcbingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martina","family":"L\u00f6sch-Binder","sequence":"additional","affiliation":[{"name":"Pediatric Diabetology, University Children\u2019s Hospital,\n                    T\u00fcbingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clara","family":"Hayn","sequence":"additional","affiliation":[{"name":"Pediatric Diabetology, University Children\u2019s Hospital,\n                    T\u00fcbingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silas","family":"Friz","sequence":"additional","affiliation":[{"name":"Pediatric Diabetology, University Children\u2019s Hospital,\n                    T\u00fcbingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"Uber","sequence":"additional","affiliation":[{"name":"Pediatric Diabetology, University Children\u2019s Hospital,\n                    T\u00fcbingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julian","family":"Ziegler","sequence":"additional","affiliation":[{"name":"Pediatric Diabetology, University Children\u2019s Hospital,\n                    T\u00fcbingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franziska","family":"Liebrich","sequence":"additional","affiliation":[{"name":"Pediatric Diabetology, University Children\u2019s Hospital,\n                    T\u00fcbingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Neu","sequence":"additional","affiliation":[{"name":"Pediatric Diabetology, University Children\u2019s Hospital,\n                    T\u00fcbingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,9,7]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"1951","DOI":"10.1007\/s00431-022-04385-z","article-title":"Health care 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DDG-Leitlinie","author":"M Hummel","year":"2021","journal-title":"Vols. AWMF-Registernummer"}],"container-title":["Experimental and Clinical Endocrinology &amp; Diabetes"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2132-9585.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,6]],"date-time":"2023-10-06T23:51:20Z","timestamp":1696636280000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2132-9585"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,19]]},"references-count":35,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2023,10,6]]},"published-print":{"date-parts":[[2023,10]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2132-9585","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0947-7349","1439-3646"],"issn-type":[{"value":"0947-7349","type":"print"},{"value":"1439-3646","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,7,19]]},"published":{"date-parts":[[2023,7,19]]}}}