We feel it is important to start discussing this transition at an early age so that patients know what to expect and have the knowledge they need to stay healthy and independently manage their diabetes before aging out of our pediatric practice.

Our START program includes two nurse practitioners, three diabetes educators and a medical social worker. Patients are seen by our nurse practitioners for assessment of readiness to transition as well as coordination of their transition to adult care, by a certified diabetes educator to receive transition related education/guidance, and a medical social worker to receive support and assessment of financial and mental health needs.

Once their primary endocrinologist identifies that the patient is ready to move onto an adult endocrinologist, the nurse practitioner will assist in coordinating transition to the selected adult endocrinologist.