Endocrinology

The Division of Endocrinology at the Children’s Hospital of Michigan provides comprehensive care to children/pediatric patients with endocrine disorders and diabetes mellitus. We follow a team approach and family centered care. The team consists of a pediatric endocrinologist, pediatric nurse practitioners, endocrine and diabetes nurses, certified diabetes educators and dietitians.

Specialized services include, but are not limited to:

  • Endocrine Stimulation tests at the infusion center
  • Inpatient education related to diabetes and endocrine disorders
  • Diabetes outpatient education classes for families and school nurses
  • Research studies / clinical trials

The Diabetes Clinic treats a diverse group of patients including, but not limited to:

  • Type 1 Diabetes Mellitus
  • Type 2 Diabetes Mellitus
  • Neonatal Diabetes
  • Monogenic Diabetes
  • Cystic Fibrosis-related Diabetes
  • Other forms of hypoglycemia and hyperglycemia

The Diabetes Clinic provides services to one of the largest groups of African-American children with Diabetes in the country. Utilizing a team approach, the service provides a comprehensive evaluation by a team of physicians,

nurse practitioners, certified diabetes educators, dietitians, and social workers. A state certified and American Diabetes Association (ADA) certified outpatient education program is also offered to help children and their families effectively manage a Type 1 diabetes diagnosis.

The Division uses insulin pumps and CGM (continuous glucose monitoring) for patient care. A diabetes phone service and emergency pager is available for insulin dose changes, prescription refills and other requests. Communication with families is offered via phone, fax and email for convenience. Outpatient education classes which meet the national standards of the American Diabetes Association and the Michigan Department of Community Health for diabetes self-management education are also conducted monthly. The doctors in the Division of Endocrinology also share their expertise throughout Michigan and Wayne State University community.

Endocrine services include, but are not limited to:

  • Endocrine Diagnostic testing including hormonal stimulation testing and OGTT at the infusion center
  • Bone age x-ray study and Dexa scans with interpretation
  • Thyroid imaging studies
  • Pituitary MRIs interpreted by pediatric neuroradiologist
  • Other specialized imaging studies through pediatric radiology
  • Thyroid scintigraphy
  • Thyroid ablation through our partners in nuclear medicine

In addition to regular inpatient and outpatient diabetes education programs for the families of children with diabetes, the division also provides:

  • Insulin pump classes for patient and families
  • Continuous glucose monitor training for patient and families
  • CHM Diabetes training program for school nurse

CHM Diabetes medical team works with Metro Detroit/South East Michigan JDRF Chapter to support diabetes related awareness about diabetes including:

  • Type 1 Diabetes summit
  • JDRF Walk
  • JDRF ‘Summer blast in Detroit’
  • CHM Diabetes medical team works with local American Diabetes Association chapter and Camp Midicha to send patients to diabetes camp.

Conditions Treated

The Division of Endocrinology at the Children’s Hospital of Michigan offers comprehensive services to children and adolescents with diabetes and hormonal disorders. The department consists of specialist physicians, nurse practitioners, certified diabetes and endocrine nurse educators, dietitians, and social workers.

The following problems or diseases are diagnosed and treated:

  • Thyroid problems including congenital hypothyroidism, Hashimoto thyroiditis and Graves disease/hyperthyroidism as well as thyroid nodules and thyroid cancer
  • Diabetes Mellitus (Type I and Type II), MODY, neonatal diabetes
  • Glucose homeostasis and hypoglycemia
  • Growth and pubertal development problems
  • Adrenal gland disorders including CAH (congenital adrenal hyperplasia), adrenal insufficiency and adrenoleukodystrophy
  • Pre-diabetes and metabolic syndrome
  • Disorders of sexual differentiation and ambiguous genitalia
  • Disorders of Calcium metabolism, vitamin D deficiency, parathyroid problems including hyperparathyroidism and hypoparathyroidism.
  • Total or partial Hypopituitarism
  • Genetic obesity syndromes
  • Management of endocrine manifestation of Turner syndrome, Klinefelter syndrome, etc.

Multidisciplinary Clinics

The Division of Endocrinology offers multidisciplinary clinics that provide a team approach to complex medical conditions. These clinics include specialized physicians from different services in the same clinic setting.

  1. Disorders of Sexual Development (DSD) clinic – In this clinic, an endocrinologist, a urologist and a psychologist provide services to the patient in the same clinic setting.
  2. Cystic Fibrosis Related Diabetes clinic – This clinic provides comprehensive care by a pulmonologist, an endocrinologist, a diabetes nurse educator and a dietician.
  3. High Risk Diabetes clinic – Multidisciplinary care is provided by a team of endocrinologist, social worker, psychologist, diabetes nurse educator and a dietician.
  4. Survivors of Childhood Brain Tumors/Neuro-Oncology Endocrine clinic – This clinic provides multidisciplinary services by a team of doctors from neurosurgery, endocrinology and hematology/oncology and also nurse educator and social worker.