Pediatric Endocrinology

Pediatric Endocrinology

Comprehensive Hormone & Metabolic Care for Infants, Children, and Teens.

Expert management of diabetes, growth, puberty, thyroid, adrenal, and bone disorders—guiding kids into healthy adulthood.

The Pediatric Endocrinology Service diagnoses and treats hormonal and metabolic conditions affecting children from birth through adolescence. Services include intensive diabetes management, comprehensive growth and puberty clinics, a multidisciplinary obesity program, thyroid and adrenal disorder care, bone-health monitoring, and gender-development support. Close collaboration with pediatric surgery, cardiology, nephrology, neurosurgery, and the Trust Fertility Clinic ensures integrated care.

1

board-certified pediatric endocrinologist & 1 diabetes nurse educator

80%

growth-hormone therapy adherence monitored via smart pens

100%

newborn screening follow-up for congenital hypothyroidism

Common Conditions & Subspecialty Clinics.

  • Type 1 diabetes and insulin management 
  • Monogenic diabetes (MODY, neonatal diabetes) 
  • Type 2 diabetes in youth
  • Diabetic ketoacidosis (DKA) prevention and management 

  • Growth hormone deficiency (GHD) 
  • Idiopathic short stature 
  • Turner syndrome 
  • Small for gestational age (SGA) with poor postnatal catch-up 

  • Central precocious puberty 
  • Delayed puberty (constitutional or pathological) 
  • Polycystic ovary syndrome (PCOS) in adolescents 
  • Gynecomastia and menstrual irregularities in teens 

  • Congenital hypothyroidism 
  • Autoimmune thyroiditis (Hashimoto) 
  • Graves disease 
  • Thyroid nodules and functional disorders 

  • Congenital adrenal hyperplasia (CAH) 
  • Cushing disease 
  • Addison disease 
  • Pituitary tumors and hypopituitarism 

  • Osteogenesis imperfecta (OI) 
  • Rickets and vitamin D deficiency
  • Hyperparathyroidism and calcium imbalances 

  • Multifactorial childhood obesity 
  • Familial hypercholesterolemia 
  • Metabolic syndrome and insulin resistance 

  • Differences in sex development (DSD) 
  • Gender dysphoria: supportive and coordinated endocrine care 

  • Pediatric thyroid carcinoma 
  • Multiple endocrine neoplasia (MEN 1, 2A/2B) 
  • Pheochromocytoma and paraganglioma (in coordination with Oncology & Genetics) 

Procedures & Treatments.

Genetic testing panels

Thyroid and adrenal ultrasound, MRI pituitary

Bone age X-ray

Continuous glucose monitoring (Dexcom G7, Libre 2) and insulin pump downloads

Dynamic tests

ACTH stim, glucagon GH stim, GnRH stim, water-deprivation test

Serum hormone panels

GH, IGF-1, cortisol, ACTH, LH/FSH, thyroid profile

Vitamin D Mega-Dosing & Bisphosphonates for bone disorders

Metformin, GLP-1 Agonists for youth-onset type 2 diabetes and obesity

Hydrocortisone and Fludrocortisone for CAH; stress-dosing education kit

GnRH Analog Therapy for precocious puberty; low-dose estrogen/testosterone for delayed puberty

Growth Hormone Injection—connected auto-injectors with adherence tracking

Multiple Daily Injection (MDI) therapy with smart pens and carb-counting education

Care Pathway & Coordination.

1
Referral & Comprehensive Evaluation

Referral & Comprehensive Evaluation

Labs, imaging, and educator assessment in one visit.

2


Family-Centered Treatment Plan

Family-Centered Treatment Plan

Goals set with the child, parents, and school liaison.

3


Therapy Initiation & Tech Setup

Therapy Initiation & Tech Setup

Sensors/pumps or medications started; digital portal onboarding.

4


Ongoing Monitoring

Ongoing Monitoring

Clinic every 3 months, home upload of devices, growth chart review.

5


Transition to Adult Care

Transition to Adult Care

Structured hand-off to adult endocrinology and allied services.

Technology & Facilities.

Pediatric Diabetes Tech Hub

CGM sensor insertion room

Endocrine Lab

Same-day hormone panels, HbA1c POC testing

Bone-Health Suite

DXA

Frequently Asked Questions.

Does growth-hormone therapy cause long-term side effects?

When dosed and monitored correctly, GH therapy is safe; we perform regular IGF-1 labs and metabolic screening.

Will early puberty affect final height?

Precocious puberty can compromise height; GnRH analog therapy preserves growth potential when started early.

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Take the first step towards better health with our expert team.

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