Quote # Participant Quote
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.”