The Enrichment Services and Care for Adolescents Living with Autoimmune Insulin Dependent Type 1 Diabetes (ESCALAIT) Clinic is a shared medical appointment for Cleveland Clinic Children's patients with type 1 diabetes. This clinic takes the place of the traditional diabetes clinic appointment, with the aim of improving a patient's medical management. The group visits are conducted approximately three months apart, and include:
- Brief education sessions
- Adolescents-only and parents-only sessions with the clinic team
- A review of glucometer readings and adjustment of insulin doses to better engage adolescents
- Individual exams, lab reviews and after-visit summaries
The ESCALAIT Clinic was started in January 2011 and has gradually continued to grow. To date, the clinic has a total of 134 participants, 60 percent female and 40 percent male. Participants' ages range from 10 years to 18 years, with 30 percent aged 10 to 12 years and 70 percent aged 13 to 18 years.
Due to the success of this clinic, the Pediatric Endocrinology Department started a similar program for children with type 1 diabetes aged five years or younger entitled Jr. ESCALAIT and an Elementary ESCALAIT for children ages 6-11 years of age.
Our ESCALAIT Team includes Jami Klein, RN, Certified Diabetes Educator, Amanda Buccitelli, RN, Daniel Finkenthal, RN, Certified Diabetes Educator, Bette Klein, Registered Dietician, and Robin Roberts, Social Worker.
We have also established a Shared Medical appointment for Cleveland Clinic Children's emerging adults with type 1 diabetes who will be getting ready to transition over to adult care. This shared medical appointment will take the place of their traditional diabetes clinic appointment. Our Transition Program is one of the first to use a Shared Medical Appointment Model making it an innovative way to help improve diabetes care for our emerging adult type 1 diabetes patients. The aim of the program will be to improve their medical management and help make the transition process easier. The Transition Program takes place over a two year period and involves close collaboration with Dr. Michelle Schweiger and Cheryl Switzer, CNP, Certified Diabetes Educator, Pediatric Endocrinology and Dr. Robert Zimmerman and Dr. Cecilia Lansang, Adult Endocrinology.
To learn more about group visits for adolescents with type 1 diabetes, please call 216.445.5158. To schedule an appointment, call 216.444.5437 or 800.223.2273, ext. 55437.