DOI: https://doi.org/10.36347/sasjm.2025.v11i12.003

Pages: 1143-1148

Objectives: to identify any challenges and constraints encountered during the transition for diabetic patients and to propose a transition care pathway that meets international standards and recommendations for the management of transition in diabetic patients. Methods: Descriptive and analytical cross-sectional study of 37 diabetic patients aged between 13 and 18 years who were followed up at the Endocrinology, Diabetology and Metabolic Diseases Department at the Mohamed VI University Hospital in Marrakesh. Results: The average age at transition for our patients was 16 ± 1.42 years, while the average age at diagnosis of diabetes was 11 years. The level of education was mostly satisfactory. With regard to medical follow-up, 47% had irregular follow-up. Only one patient came alone, while the others were always accompanied by their parents. The average glycated haemoglobin level of our patients was 14.28%. The majority of our patients presented with acute complications of diabetes, particularly recurrent hospitalisations for diabetic ketoacidosis [mainly due to discontinuation of treatment]. In our sample, age at transition was a predictive factor for glycaemic control. Conclusion: The transition of patients with diabetes poses a real challenge due to the complexity of managing the disease at a stage of life characterised by multiple physical, psychological and social changes. Awareness and early initiation of a well-structured transition process for the final transfer of paediatric care to an adult diabetes care team are essential.