Specialty Endocrine Clinics

Peyton Manning Children’s Hospital

 General Endocrine Clinic

This clinic is for children of all ages (infant to age 18) and we treat common and complex conditions with expert, yet compassionate care. Throughout your appointment, we never rush; we allow ample time to answer all your questions.

  • Growth concerns, including short stature, and genetic syndromes
  • Sexual development, precocious and delayed puberty
  • Pituitary disease including thyroid disease (congenital or acquired)
  • Adrenal diseases

 

 Weight Management Clinic

Overweight and obese children and teens can have health-related conditions that put undue stress on the heart and other body functions. At the first visit we always rule out endocrine disorders including diabetes. Adopting a healthier daily diet, exercise and conservative use of medication has proven to be life changing for many children and their families.

Dietary and nutritional education and support is central to managing many endocrine disorders. Research shows that family-centered education helps to prevent, delay and even reverse endocrine-related complications, such as type 2 diabetes mellitus. This office has a dedicated nurse educator and pediatric registered dietitian to help families learn how to make better food choices and create meal plans that are kid-friendly style.

  Supportive Care

Every child’s needs are different and that is why balancing medical care with family life, school, play, sports and community are all part of the solution. Within our office we also have a social worker who is very good at helping each child make the transition to school and other play groups. Overall we want to instill self-confidence and tools that give you control over challenging health conditions.

 Diabetic Education and Care Clinic:

Diabetes Mellitus (Type 1) is a complex condition that requires lifeline care and management. Approximately 5% of children in Indiana and nationwide are diagnosed with Type 1 diabetes mellitus. This disease has been diagnosed in infants, but generally the peak age of diagnosis is age 14.New patients referred to our clinic are typically hospitalized at Peyton Manning Children’s Hospital for 24-48 hours to receive intensive education about how to best use the medication therapies and devices and how to adapt food choices, meal planning and activities. Our Pediatric Diabetes Care Team (nurses, dietitians, educators and child life specialists) will thoroughly train the family and child (depending on the age) to do blood sugar checks, insulin injections and to be intuitive about low and high blood sugar signs and symptoms. There is a lot of practice time. Once at home, our staff maintains close phone contact with each family during this period to encourage, guide and reinforce important daily diabetes care steps. Patient and family surveys have consistently shown a high degree of satisfaction with our education process –Nearly 100% of our patients avoid being readmitted to the hospital for diabetic conditions.

Type 2 diabetes is a growing concern among teenagers. We are advocates for all of our patients and have a strong dietary approach to self-managing these symptoms. Together, resources are available here and in your community that will help your child thrive.Tip: For Type 2 diabetic care, 60 minutes of daily activity and exercise is especially important to lower blood glucose levels and increase insulin sensitivity.

Our diabetes management and education approach utilizes progressive and proven treatments and therapies. Our focus is always to personalize the diabetic care for each family because we know this disease can be stressful and overwhelming. We also coordinate care closely with your primary care physician. There is always an education curve for the entire family and we have a full team of experts that are with you every step of the way.

  • Insulin Pump Therapy
  • CGMS (Continuous Glucose Monitor System)
  • Self-care behaviors aimed at preventing complications
  • Psycho-social support from social workers and counselors

Helpful resources when your child is diagnosed with diabetes. Source NIDDK.NIH.GOV

 Lipid Clinic

Children with hypercholesterolemia (especially in association with a family history of early heart attacks) are at risk for developing other life-threatening health conditions. We have a comprehensive work-up that addresses all of the risk factors. Through the clinic, a multidisciplinary team (physician, nurse practitioner, dietitian and pharmacist) plans a comprehensive approach to the management and follow up of these children.

 Inpatient Hospital

If your child is being admitted to Peyton Manning Children’s Hospital (PMCH) or is a newborn in the St.Vincent NICU, with an endocrine disorder, our St.Vincent Pediatric Endocrinologist is part of your child’s multidisciplinary care team.

Statewide, the Pediatric Endocrinologists are part of the St.Vincent One Call system. That means your local family physician and local Emergency Departments can access our endocrinologists, just a phone call away. They can also expedite transportation to PMCH if needed.

At PMCH, our hospitalists (all board-certified pediatricians) and pediatric subspecialists and associates are all part of a multidisciplinary team:

    • Onsite Pediatric Specialists: Endocrinology, Nephrology, Cardiology, Infectious Disease, Neurology, Neonatology (specializing in genetic conditions), Surgery, Urology, to name a few
    • Certified endocrine/diabetes educators (registered nurses and registered dietitians)
    • Critical Care Nurses
    • Pediatric Pharmacists
    • Pediatric Radiologists and medical imaging
    • Medical social workers and case managers
    • Rehabilitation therapists, (PT, OT, speech, audiology)
    • Child Life specialists (using distraction and play therapy, art and music therapy and pet therapy)

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