1. Sponsors for the Evening Novo Nordisk Medtronic of Canada Ltd Roche Diagnostics DiNiro Family Golf Tournament Fundraiser to the Pediatric Diabetes Clinic

2. Transition to Adult Diabetes Care Dr Robert Wilson Endocrinologist

3. Objectives To understand transition to adult care & how it differs from pediatric care To learn about lifestyle issues faced by young adults To learn about the roles involved with adult diabetes management

4. Goal of Transition To provide care that is uninterrupted, coordinated, developmentally appropriate as youth move from pediatric diabetes care to adult-oriented health care

5. Reality Check 25-65% of Young Adults Seek No Medical Follow-up During Transition WHY?

7. Adult Care is Different Expect to Meet Alone Know Your Own Condition & Health Know Your Medications Take Responsibility for Your Care

8. Adult Care is Different Sign Your Own Consents Advocate for Yourself

9. What to Expect From Visits? EKG Eye Chart Exam (Bring Glasses) Blood Pressure Foot Exam Height and Weight

10. What to Expect From Visits? Abdominal Girth Blood Work/Urinalysis Meal Plan Review

11. What to Bring to Visits?? Diary - 2 Weeks of Numbers Medications and Side Effects Meter/Pump Prescription Needs Emergency Plan – People to Contact

12. What to Bring to Visits?? Know your Family’s Health History Health Card Allergy Information Questions ???

13. Lifestyle Issues for Teens Alcohol Smoking Drugs Sexual Health Driving Living Out of Town

14. Alcohol & Diabetes Hypoglycemia May Appear Intoxicated Occurs 6-36 Hours after Drinking For Your Safety:  Eat Carbohydrate Rich Foods when Drinking  Tell a Friend to Look for Symptoms of Lows  Check BG Before Bed  Carry Glucose with You Glucagon Does Not Work When Alcohol is in the Body!

15. Smoking & Diabetes We Know the Risks! Diabetes Compounds the Problem

16. Drugs & Diabetes All Street Drugs Severely Impair Judgment Various Drugs Cause Hypoglycemia or Hyperglycemia

17. Sexual Health Unplanned Pregnancies Should Be Avoided Seek Counseling Prior to a Planned Pregnancy When Pregnant Notify Your Diabetes Team Immediately!

18. Driving & Diabetes Avoid Hypoglycemia Always Carry a Glucose Source Pull Over & Treat Promptly Wear Medical Alert Driving is a Privilege

19. Have a Sick Day Plan. Never Be Alone! Living Out Of Town Carry Supplies Be Prepare for Lows Wear Medical Alert Maintain Prescriptions Keep Medical Appointments Obtain Referral to Endo Need a Family Doctor

20. Team Captain’s Role Have a Say in Decisions Made Be Fully Informed Speak for Yourself Ask for Help

21. Coach’s Role Determine Appropriate Medication, Timing & Dose Assess & Monitor Health Status

22. Team’s Role On-going Diabetes Education Provides Resources Problem Solving Support