Evidence map›Paper›PMID 40233175›Full record

ArticleThe Journal of clinical endocrinology and metabolism2025

Navigating Transition to Adult Care in Youth-Onset Type 2 Diabetes: Facilitators, Attitudes, Barriers, and Behaviors.

Sophia Beth Glaros, Sydney Annemarie Dixon, Noemi Malandrino, Faith Suzanne Davis, Aruba Chowdhury, Ila Nikki Kacker, Natalie Ann Macheret, Samson Levy Cantor, Geethika Thota, Lilian Mabundo and 5 more

Abstract read
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In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Sophia Beth GlarosSection on Pediatric Diabetes, Obesity, and Metabolism, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health (NIH), Bethesda, MD 20814, USA.
Sydney Annemarie DixonSection on Pediatric Diabetes, Obesity, and Metabolism, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health (NIH), Bethesda, MD 20814, USA.
Noemi MalandrinoSection on Pediatric Diabetes, Obesity, and Metabolism, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health (NIH), Bethesda, MD 20814, USA.
Faith Suzanne DavisSection on Pediatric Diabetes, Obesity, and Metabolism, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health (NIH), Bethesda, MD 20814, USA.
Aruba ChowdhurySection on Pediatric Diabetes, Obesity, and Metabolism, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health (NIH), Bethesda, MD 20814, USA.
Ila Nikki KackerSection on Pediatric Diabetes, Obesity, and Metabolism, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health (NIH), Bethesda, MD 20814, USA.
Natalie Ann MacheretSection on Pediatric Diabetes, Obesity, and Metabolism, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health (NIH), Bethesda, MD 20814, USA.
Samson Levy CantorSection on Pediatric Diabetes, Obesity, and Metabolism, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health (NIH), Bethesda, MD 20814, USA.
Geethika ThotaSection on Pediatric Diabetes, Obesity, and Metabolism, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health (NIH), Bethesda, MD 20814, USA.
Lilian MabundoSection on Pediatric Diabetes, Obesity, and Metabolism, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health (NIH), Bethesda, MD 20814, USA.
Catherine Mason GordonSection on Adolescent Bone and Body Composition, Eunice Kennedy Shriver National Institute of Child Health and Human Development, NIH, Bethesda, MD 20817, USA.
Marissa LightbourneSection on Translational Diabetes and Metabolic Syndromes, National Institute of Diabetes and Digestive and Kidney Diseases, NIH, Bethesda, MD 20814, USA.ORCID 0000-0001-5498-0452
Doris Elizabeth EstradaDivision of Diabetes and Endocrinology, Children's National Hospital, Washington, DC 20010, USA.
Maureen MonaghanDivision of Diabetes, Endocrinology, and Metabolic Diseases, National Institute of Diabetes and Digestive and Kidney Diseases, NIH, Bethesda, MD 20814, USA.
Stephanie Therese ChungSection on Pediatric Diabetes, Obesity, and Metabolism, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health (NIH), Bethesda, MD 20814, USA.ORCID 0000-0001-6989-0417

Funding

Eunice Kennedy Shriver National Institute of Child Health and Human DevelopmentExtramural Program of the NIH, the National Institute of Diabetes and Digestive and Kidney DiseasesIntramural Program of the NIH, the National Institute of Diabetes and Digestive and Kidney Diseases Z99DK999999
6 · The paper itself

Abstract

contextTransitioning from pediatric to adult-centered diabetes care may be challenging, especially for young individuals at risk for and with youth-onset type 2 diabetes (Y-T2D) who have a high disease burden and rapidly progressive disease. However, the scope of transition readiness, range of psychosocial factors, and perceived barriers among Y-T2D are understudied.

objectiveIn Y-T2D attending an adult diabetes transition clinic, our objectives were to (1) characterize attitudes toward transition readiness, (2) examine relationships among depressive and anxiety-related symptoms and transition readiness, and (3) identify perceived barriers and facilitators of diabetes self-care.

methodsTransition readiness was assessed with the Endocrine Society "Self-assessment of Worries, Concerns, and Burdens Related to Diabetes and Preparation for Transitioning," and mood symptoms with the Patient Health Questionnaire (PHQ-9), and the Generalized Anxiety Disorder (GAD-7) questionnaire. Logistic regression analyses evaluated the response to transition readiness by mood symptoms. Qualitative analysis identified themes of diabetes self-care in a subset of Y-T2D.

resultsSurvey response rate was 89%; n = 65; age: 19.6 ± 2.0 years (mean ± SD); 85% Y-T2D; 15% prediabetes; 57% female; 78% Black; body mass index: 38.0 ± 8.2; and hemoglobin A1c: 7.6 ± 2.7%. Perceived challenges were reported in 95% of participants, and 54% reported worrying about their future. Mild or greater depressive and anxiety-related symptoms were associated with higher odds of reporting social, emotional, and cognitive challenges. Stress, socioeconomic difficulties, and challenges with organizational cognitive functioning were reported barriers to diabetes self-care.

conclusionMood symptoms and difficulties with organizational cognitive functioning were commonly reported in Y-T2D during the transitioning period. Interventions are needed to successfully address these psychosocial factors.

Indexed as

Diabetes Mellitus, Type 2Health Knowledge, Attitudes, PracticeSelf CareTransition to Adult CareAdolescentAdultAge of OnsetAnxietyDepressionFemaleHumansMaleSurveys and QuestionnairesYoung Adultanxiety-related symptomsdepressive symptomsdiabetestransition readinessyouth-onset type 2 diabetes

Identifiers

PMID40233175
PMCPMC12623011

What Socratic holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.