For emerging young adults with diabetes, it is particularly important to create effective and translatable processes for the transition in care from pediatric to adult providers in order to optimize well-being and health for the near term. It is additionally imperative for these young adults to achieve target glycemic control in order to prevent long-term complications and to maximize lifelong functioning. There are no proven strategies to achieve these goals, although programs that particularly target the young adult with diabetes through education, skills training, specialty transition clinics, or addition of transition coordinators appear to offer promise. Our current knowledge regarding this transition process calls for ongoing and expanding research initiatives, including the continued training and identi.cation of adult providers versed not only in the medical care but also in the psychosocial needs of the young adult with diabetes. The next decade should see the emergence of evidence-based strategies that support best practice for the growing numbers of young adults with type 1 and type 2 diabetes who will be making this important transition.