Transitioning Your Medical Care: Diabetesenteenshttps://kidshealth.org/EN/images/headers/Transitioning_Your_Medical_Care_Diabetes_enHD_1.jpgMost teens with diabetes should switch to an adult health care provider when they're between 18 and 21. Here's how you can do that.diabetes, transition of care, teens with diabetes, diabetic teens, my doctors, pick my own doctor, health care, 04/05/201804/14/202004/14/2020Steven Dowshen, MD04/03/20188469623b-d258-472f-af76-20efe836a054https://kidshealth.org/ws/RadyChildrens/en/teens/toc-diabetes.html/<h3>What Does it Mean to Transition Health Care?</h3> <p>If you have diabetes, a pediatric (childhood) endocrinologist is probably directing your medical care. That doctor and the <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/diabetes-team.html/">diabetes health care team</a> have been there to support you and your family.</p> <p>Your parents have likely played a big part in your medical care, and that's great. But after you turn 18, they may not be able to see your medical records or talk about your health with your doctor — even if you want them to.</p> <p>&quot;Transition of care&quot; means shifting your health care to an adult medical practice. But who takes care of you is just one part of this change. It also means learning how to <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/take-charge.html/">take charge of your own health</a> and handle every aspect of your care — from filling out insurance forms to understanding and making decisions about treatments.</p> <p>Now is a good time to begin looking into moving from your pediatric specialist to doctors who treat adults. Your <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/diabetes-team.html/">diabetes care team</a> should be able to guide you, but here are some good things to know.</p> <h3>When Should Teens With Diabetes Transition to Adult Care?</h3> <p>It depends on the person, but most teens with diabetes should move to adult health care when they're between 18 and 21. That's when many become independent from their parents, <a class="kh_anchor">go to college</a>, or move away from home.</p> <h3>How Can I Prepare to Transition to Adult Care?</h3> <p>To help you with this transition:</p> <ul class="kh_longline_list"> <li>Learn all you can about diabetes and its symptoms.</li> <li>Know how to handle diabetes when you're <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/diabetes-sick.html/">sick</a> or need to make changes to the diabetes management plan.</li> <li>Know the names of all your <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/medicines-diabetes.html/">diabetes medicines</a>, their dosages, and when to take them. Learn about common side effects and interactions with other medicines.</li> <li>Be able to answer most questions about your health and medical history .</li> <li>Know what to do in an emergency.</li> <li>Know why it's important to follow the treatment plan.</li> <li>Understand your <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/hmo-language.html/">health insurance coverage</a> and carry that information with you.</li> </ul> <p>You also should learn how to:</p> <ul> <li>schedule medical appointments</li> <li>order <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/rx-refills.html/">prescription refills</a></li> <li>contact your diabetes care team</li> <li>deal with device problems (if you use things such as insulin pumps and blood glucose monitors)</li> </ul> <h3>What Should I Do Before Going to College or Living on My Own?</h3> <p>Before moving away from home, be sure that you:</p> <ul class="kh_longline_list"> <li>Have copies of your <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/medical-records.html/">medical records</a>, including medicines, allergies, immunizations, testing, and your endocrinologist's and primary care provider's names and phone numbers.</li> <li>Find an endocrinologist close to where you'll be living.</li> </ul> <p>If you're headed to college, contact:</p> <ul> <li>the student health services staff to coordinate care with your current endocrinologist and help you find a new specialist near your campus</li> <li>the Office of Disability Services and talk to your professors about any needed accommodations and an academic plan in case of illness</li> </ul> <p>If you have a job, tell your employer how diabetes might affect your work.</p> <h3>How Can I Find a Doctor Who Specializes in Diabetes?</h3> <p>To find an adult doctor who specializes in diabetes:</p> <ul class="kh_longline_list"> <li>Ask your current health care provider for a list of endocrinologists in the area where you'll be living.</li> <li>Go to the websites or contact local chapters of diabetes groups, such as the <a href="http://diabetes.org">American Diabetes Association</a>.</li> </ul> <h3>What Else Should I Know?</h3> <p>You know you need to switch from a pediatric to an adult endocrinologist. But it's also important to <a href="https://kidshealth.org/ws/RadyChildrens/en/teens/own-doctor.html/">find</a> an adult primary care provider for your non-diabetes health care needs. This could be an internist, family medicine specialist, or nurse practitioner. He or she should work with your endocrinologist, as needed.</p>La transición en tus cuidados médicos: la diabetes"La transición en tus cuidados médicos" significa cambiar el cuidado de tu salud de la medicina pediátrica a la medicina propia de los adultos. También supone aprender a responsabilizarte de tu propia salud y organizar todos y cada uno de los aspectos de tus cuidados médicos. https://kidshealth.org/ws/RadyChildrens/es/teens/toc-diabetes-esp.html/d7b5f867-82bc-4bd0-b5a2-134a66124511
Choosing Your Own DoctorYou deserve medical care from someone who helps you feel comfortable and understood. Get tips on finding the best doctor for you.https://kidshealth.org/ws/RadyChildrens/en/teens/own-doctor.html/85e1c956-7aa1-4181-929e-677acdb33b85
Diabetes CenterOur Diabetes Center provides information and advice for teens about treating and living with diabetes.https://kidshealth.org/ws/RadyChildrens/en/teens/center/diabetes-center.html/2de408fd-c6ef-4ca3-a5cf-9a1456fe0f29
Diabetes: When to Call the DoctorTaking care of your diabetes includes knowing when to call a doctor and get medical help.https://kidshealth.org/ws/RadyChildrens/en/teens/diabetes-doctor.html/de1ff189-1169-4fee-90f1-72926c7c6921
Electronic Health RecordsBecause EHRs improve how well your doctors talk to each other and coordinate your treatment, they can enhance your medical care. Get the facts on electronic health records.https://kidshealth.org/ws/RadyChildrens/en/teens/ehr.html/0ac3761b-23ec-4485-8808-7473efadbde5
Health Insurance BasicsTaking charge of your own health care is a big step, and it can be a little overwhelming. Here's a quick crash course on insurance for teens.https://kidshealth.org/ws/RadyChildrens/en/teens/insurance.html/c6993fac-256c-4d61-befb-dbcaaf6397ca
Taking Charge of Your Medical CareFiguring out health care is part of becoming an independent adult. Here are tips for teens on what that involves, and how to choose your own doctor.https://kidshealth.org/ws/RadyChildrens/en/teens/medical-care.html/68e64ed2-24a5-4eca-8bd4-5e046d46f49b
Your Diabetes Health Care TeamIt takes all of your team members — you, your parents, doctors, certified diabetes educators, dietitians, and mental health pros — to help you take care of your diabetes.https://kidshealth.org/ws/RadyChildrens/en/teens/diabetes-team.html/8bce6552-f82e-4e39-9abf-ba3817c872f6
Your Medical RecordsEach time you hop up on a doctor's exam table, somebody makes a note in your medical records. There may come a time when you need your medical information, so find out how to get it and how it's protected.https://kidshealth.org/ws/RadyChildrens/en/teens/medical-records.html/627af70f-1ed2-45b9-bdc8-a86c837f8e3a
kh:age-teenThirteenToNineteenkh:age-youngAdultEighteenPluskh:clinicalDesignation-adolescentMedicinekh:genre-articlekh:primaryClinicalDesignation-endocrinologyDiabetes Center for Teenshttps://kidshealth.org/ws/RadyChildrens/en/teens/diabetes-center/1c7d2176-ef92-41a9-86e1-bbdc4b8d6ddfGetting Medical Care (for Teens)https://kidshealth.org/ws/RadyChildrens/en/teens/managing-care-center/medical-care/9dcc8171-4368-4038-bbf4-a124f148be84