This literature review considers the personal and practice implications of managing type 1 diabetes in adolescence. The review is part of a wider postgraduate study and critically considers 25 largely qualitative articles. It identifies two themes: ‘social and emotional transition’ and ‘service-related transition’. Social and emotional transition relates to the experiences of adolescents diagnosed with type 1 diabetes, including increased risk of anxiety, depression and eating disorders. The service-related transition refers to this vulnerable group not fitting well into child or adult services and the added pressures of managing the move from one service to another. This includes the expectation of increased autonomy and problems of poor self-management.

The review includes examples of positive practice largely grounded in improved personal and service transition. It considers the problems encountered and informs professionals about gaps in practice, encompassing the distinct difficulties adolescents with type 1 diabetes may experience.