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. Disclosure D.R. Himsworth: None. S. Corathers: None. T.R. Bol: None. J. Ross: None. J. Iyengar: None. R.D. Tweet: Other - honorarium; Obesity and Weight Management Stigma Training via ADA Webinar; Ended; Lilly. F. Joarder: None. N. Rioles: None. Funding The Leona M. and Harry B. Helmsley Charitable Trust
HIMSWORTH et al. (Fri,) studied this question.