Impact of Evolving Life Circumstances on Emerging Adults with Type 1 Diabetes: Discoveries from the Tübingen Transition Study after 22 Years
Authors' conclusion
Psychosocial life circumstances that are considered more stable in early adulthood, such as being a parent and working in academic occupation, were positively associated with metabolic control.
Study context
- Population
- Patients with childhood-onset T1D transferred from pediatric to adult care between 1998 and 2021 (Tübingen Transition Study)205 responded at least once
- Participants
- 281 patients
- Outcome
- Factors associated with metabolic control (HbA1c) following transfer to adult care
Methodological detailsyearly questionnaire, mixed cross-sectional longitudinal approach
- Yearly questionnaire
- Mixed cross-sectional longitudinal approach
Main finding
As reported in the abstract
Factors associated with HbA1c · before and after transfer
- Vocational training vs studies: differences most pronounced; 7.4 ± 1.0%, 57 ± 13 mmol/mol vs 7.0 ± 0.8%, 53 ± 15 mmol/mol
- p < 0.05
Observational data: associations, not effects.
Further findings
Pump therapy by sex
- Women more frequently treated with pump therapy than men
- P < 0.05
Having children, aged 30-40: T1D vs general population
- Lower prevalence with T1D vs general population
- 38.0% vs. 52.7%
Being married, aged 30-40: T1D vs general population
- Lower prevalence with T1D vs general population
- 40.5% vs. 55.3%
Original publication
Impact of Evolving Life Circumstances on Emerging Adults with Type 1 Diabetes: Discoveries from the Tübingen Transition Study after 22 Years. Horm Res Paediatr. Published 11 December 2025. doi:10.
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