1 |
Pediatrician |
“There’s no formal preparation. It’s just a few
conversations.” |
2 |
Diabetes Educator |
“It’s not a transition, it’s a transfer, and
basically, that’s it. We just send them off.” |
3 |
Dietician |
“The fortunate thing in this area is that the diabetes
nurse educator and dietician involved with the diabetes clinic are the
same people who do the adult clinic. So, there’s continuity of care
there.” |
4 |
Dietician |
“I just simply tell them we [the pediatric diabetes
care team] are here, so if you are coming home at Thanksgiving or if
you are coming home for Christmas… and you want to come back in
and sit down and have a chat and see how you’re doing, we’re more than
open to do that as well.” |
5 |
Diabetes Educator |
“If they’re staying in our area, they will be
transferred to a family physician that we have. They’d still be under
the same diabetes nurse and dietician, you would just have a different
doctor. We don’t have an endocrinologist anyway, ah, and there’s times
when we don’t have an internist.” |
7 |
Diabetes Educator |
“Do you go to work or go to school or do you
come to a doctor’s appointment to talk about your pump and your diabetes
that you’ve heard ever since you were four?… I can’t say they’re just
not compliant… they’ve got a lot of things going
on.” |
6 |
Pediatrician |
“What some young people have told me after
transferring over is… they sit in the [adult] clinic waiting
room, they are sitting there with the individuals that are generally
much older than them and… may have complications, and they find
that quite scary.” |
8 |
Pediatrician |
“Where it’s easier for them [the patient] to get
in to see maybe their [primary care physician], as opposed to coming
in to see the [diabetes care] team… that would be a really
great way to keep them connected with the health care
system.” |
9 |
Pediatrician |
“I think they [most primary care physicians]
manage a lot more type 2 in their practices, so they’re a bit more
familiar with that, but I think type 1, for them is kinda [of a]
step up and take any kind of role, even as a go-between, they would need
more education.” |
10 |
Diabetes Educator |
“It would be nice if the patients… had
the opportunity to come here [the adult clinic] before they actually
transitioned. Because, I think that’s the biggest thing… it’s a
fear of… a new educator and an unknown, even [a new]
surrounding and building.” |
11 |
Diabetes Educator |
“I think we need to start our young people
early and let them know and let them get excited about transitioning
themselves.” |