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The transition from paediatric diabetes services to adult care

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The UK has the fourth largest population of children and young people with type 1 diabetes in Europe and the fifth largest population in the world but there is no comprehensive, standardised approach to care in paediatric or adult services, or in secondary or primary care. 1, 2

Over the past decade, UK standards and guidelines have focused on children and young people with diabetes, and substantial improvements within services have been achieved.3,4,5

Atlas of variation
However, evidence from the recent National Diabetes Paediatric Audit (NDPA) Report shows that more than 85 per cent of children and young people with diabetes did not achieve the NICE recommended target of less than 7.5 per cent HbA1c; this has remained unchanged over the past seven years.6

In the recently published Atlas of Variation in Healthcare for Children and Young People the delivery of care given to children and young people and their families is highlighted as a contributory factor towards poor outcomes. 7

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