Conclusions
Transitioning from pediatric to adult care is a challenge for young adults with type 1 diabetes, with many falling out of care or facing adverse health outcomes. This study described the transition process for young adults with type 1 diabetes in NL through the lens of both pediatric and adult providers. In a province with a relatively small number of patients with diabetes who transition out of pediatric care annually, we found different approaches to managing the transition into adult care throughout the province. This variation reflected staff and resource availability at different centres, but providers felt that it may not necessarily have a negative impact on patient outcomes despite that we found an increase rate of diabetes related hospitalization in the period after they transition. The interviews also offered suggestions to improve the transition process including structured transition programs and increased support for primary care physicians. Educational resources could also be shared across centres. These recommendations should be considered by other diabetes centers outside of the province.