Disengaged young adults with Type 1 diabetes are vulnerable to poor health outcomes and difficult to support with existing models of care. Structured education using psychological techniques has had no demonstrable benefit in this group. Potentially 20% of young adults aged 16-30 could be included in this category. East and North Herts Clinical Commissioning Group (CCG) commissioned East and North Herts Institute of Diabetes and Endocrinology (ENHIDE) to pilot an innovative model of supported tailored care, which started in August 2016. The two-year project provided access to a dedicated young adult support worker (YASW) and diabetes specialist nurse (DSN), using text, Skype, email, flexible appointments, and access to newer methods of treatment and monitoring.
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