Transition of care from a child-centered care environment to an adult-centered care environment for pediatric patients with diabetes is needed to ensure continued diabetes care. The transition process should start early and be tailored to the developmental stage of the patient. The typical challenges of adolescence and young adulthood including pubertal changes, parent-child conflict and the potential for high-risk behavior complicate the transition process. Methods of transfer of care are variable and less than optimal. Ongoing study and continued efforts are needed to improve the transition process so that young patients with diabetes receive high quality uninterrupted care.