{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T16:51:18Z","timestamp":1791478278949,"version":"4.3.4"},"reference-count":22,"publisher":"Walter de Gruyter GmbH","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,26]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"j_jpem-2026-0293_abs_001\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Transition from pediatric to adult care is a critical period for adolescents with type 1 diabetes mellitus (T1DM). This study aimed to evaluate transition readiness and its association with glycemic outcomes, and to analyze factors affecting readiness in adolescents with\u00a0T1DM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jpem-2026-0293_abs_002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This cross-sectional study included 75 adolescents with T1DM aged 17\u201321 years. Transition readiness was assessed using a diabetes-adapted 23-item questionnaire based on the Transition Readiness Assessment Questionnaire (TRAQ). Clinical and demographic data were collected retrospectively. Associations between transition readiness scores and HbA\n                      <jats:sub>1c<\/jats:sub>\n                      levels, categorized using two clinically relevant thresholds, as well as demographic and clinical variables, were analyzed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jpem-2026-0293_abs_003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean transition readiness score was 83.91\u00a0\u00b1\u00a014.46. Higher scores were observed in communication and self-management domains, whereas lower scores were noted in healthcare navigation and transition-specific readiness. Transition readiness scores were not associated with HbA\n                      <jats:sub>1c<\/jats:sub>\n                      levels across different classifications. Diabetes duration was positively correlated with readiness scores (r=0.311, p=0.007), while no significant association was found with age or gender. Technology use (continuous glucose monitoring and insulin pump) was not associated with transition readiness.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jpem-2026-0293_abs_004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Transition readiness in adolescents with T1DM appears to be a multidimensional construct that is not directly reflected by glycemic control. This discrepancy between perceived readiness and clinical outcomes suggests that transition assessments should extend beyond subjective measures and incorporate broader functional domains, including healthcare navigation and real-life independence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1515\/jpem-2026-0293","type":"journal-article","created":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T15:58:01Z","timestamp":1787673481000},"page":"1000-1006","source":"Crossref","is-referenced-by-count":0,"title":["Ready for transition, but ready for outcomes? Discordance between transition readiness and metabolic control in adolescents with type 1 diabetes"],"prefix":"10.1515","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3335-7976","authenticated-orcid":false,"given":"Ay\u015fe","family":"Ya\u015far","sequence":"first","affiliation":[{"name":"Department of Pediatric Endocrinology, University of Health Science Umraniye Training and Research Hospital , Istanbul , T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4880-8175","authenticated-orcid":false,"given":"Fatma","family":"Dursun","sequence":"additional","affiliation":[{"name":"Department of Pediatric Endocrinology, University of Health Science Umraniye Training and Research Hospital , Istanbul , T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5578-1770","authenticated-orcid":false,"given":"Esma Ebru","family":"Altun","sequence":"additional","affiliation":[{"name":"Department of Pediatric Endocrinology, Dr. \u0130smail Fehmi Cumal\u0131o\u011flu City Hospital , Tekirda\u011f , T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8663-3452","authenticated-orcid":false,"given":"Heves","family":"K\u0131rm\u0131z\u0131bekmez","sequence":"additional","affiliation":[{"name":"Department of Pediatric Endocrinology, University of Health Science Umraniye Training and Research Hospital , Istanbul , T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2026,8,26]]},"reference":[{"key":"2026100815572195384_j_jpem-2026-0293_ref_001","doi-asserted-by":"crossref","unstructured":"Garvey, KC, Wolpert, HA, Rhodes, ET, Laffel, LM, Kleinman, K, Beste, MG, et al.. Health care transition in patients with type 1 diabetes: young adult experiences and relationship to glycemic control. Diabetes Care 2012;35:1716\u201322. https:\/\/doi.org\/10.2337\/dc11-2434.","DOI":"10.2337\/dc11-2434"},{"key":"2026100815572195384_j_jpem-2026-0293_ref_002","doi-asserted-by":"crossref","unstructured":"American Academy of Pediatrics; American, Academy of Family Physicians, American College of Physicians; Transitions Clinical Report Authoring Group, Cooley, WC, Sagerman, PJ, Sagerman, PJ. Supporting the health care transition from adolescence to adulthood in the medical home. Pediatrics 2011;128:182\u2013200. https:\/\/doi.org\/10.1542\/peds.2011-0969.","DOI":"10.1542\/peds.2011-0969"},{"key":"2026100815572195384_j_jpem-2026-0293_ref_003","doi-asserted-by":"crossref","unstructured":"Bryant, BL, Wang, CH, Streisand, R, Monaghan, M. Evaluating transition readiness in older adolescents and young adults with type 1 diabetes. 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