Author Block: DANIEL R. HIMSWORTH, SARAH CORATHERS, TIMOTHY R. BOL, JORDAN ROSS, JENNIFER IYENGAR, RYAN D. TWEET, FARAHNAZ JOARDER, NICOLE RIOLES, Boston, MA, Cincinnati, OH, Memphis, TN, Ann Arbor, MI, Beaverton, OR
Introduction and Objective: Transition from pediatric to adult diabetes care is a vulnerable period for gaps in care. Guidelines recommend structured transition processes. Establishing baseline clinical practice across diabetes centers is essential for future quality improvement endeavors. We assessed center-reported presence of formal transition policies across pediatric and adult diabetes centers participating in T1DX-QI to establish a baseline for future quality improvement.
Methods: The 2025 T1DX-QI annual survey (Aug-Oct 2025) collected center-reported 2024 practices. Centers indicated whether they had a formal health care transition policy (yes, no, unsure/unknown). Policy prevalence was compared by center type using chi-square tests.
Results: A total of 61 diabetes centers completed the survey. Overall, 38 centers (62%) reported having a formal health care transition policy; 21 centers (34%) did not, and 2 centers (3%) were unsure. In pediatric centers, 29/41 (71%) reported a policy and 12/41 (29%) did not. In adult centers, 9/20 (45%) reported a policy, 9/20 (45%) did not, and 2/20 (10%) were unsure. Excluding centers reporting uncertainty, transition policy prevalence did not differ significantly by center type (χ² = 2.35, p = 0.126).
Conclusion: Formal transition policies were absent or unclear in a substantial minority of centers, particularly adult centers, identifying an opportunity to standardize transition infrastructure.
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