2080-P: Differences in Transfer of Care in Type 1 and Type 2 Diabetes

Introduction and Objective: Young adults with diabetes face challenges transferring to adult care. Little is known about transfer in young adults with type 2 diabetes (YT2D). We hypothesized that YT2D would have lower rates of successful transfer than young adults with type 1 diabetes (YT1D). Methods: We conducted a retrospective review of transition-age patients (≥18 years old) with type 1 (N=636) or type 2 (N=305) diabetes treated over five years at a pediatric center. Groups were compared using Mann Whitney U tests or chi-square tests. Logistic regressions adjusted for covariates, used diabetes type as the predictor, and used successful transfer, loss to follow-up, and type of adult provider as outcomes. Successful transfer was defined as transfer <6 months after pediatric care; loss to follow-up was defined as no visit within 6 months and no scheduled appointment. Results: Compared to YT1D, YT2D were more often publicly insured (83.6% vs 41.7%), had lower HbA1c (6.4% vs 7.8%), and were less often non-Hispanic white (7.5% vs 56%) [p<0.001]. YT2D were frequently lost to follow-up (42.3%) and often transferred to a primary care provider (PCP) (45.6%). They had lower odds of successful transfer (OR: 0.55, CI: 0.3-0.98, p=0.043) and higher odds of PCP transfer (OR 8.97, CI: 3.85-22.3) p<0.001). Conclusion: Transition-age YT2D were frequently lost to follow-up and often saw a PCP for diabetes care. They were less likely than YT1D to successfully transfer to adult care. Disclosure N. Conboy: None. J. Li: None. A. Finkle: None. T. McIntyre: None. S. DeLacey: None. Funding Manne Research Institute Voucher Program; Medical-Dental Staff Lurie-Based Trainee Research grant