Paediatric and adult diabetes often share a common clientele, when patients are moved from a familiar environment of paediatric diabetic medicine to adult diabetes. This can be challenging for all three interested parties. Specifically, rarer forms of diabetes are logically considered to pose additional challenges.

This narrative review by Reschke and colleagues focuses on transition- specific barriers in rare diabetes syndromes such as Wolfram syndrome, Alström syndrome, Bardet–Biedl syndrome and maturity-onset diabetes of the young. It explores current initiatives and proposes recommendations for care models and health system reform.

This should make an enlightening, introspective article for an audience of various demographics working in diabetes at both paediatric and adult levels.

Read the full article in Endocrine Connections https://doi.org/10.1530/EC-25-0451