Children’s Hospital of Michigan treats the most children for inpatient endocrinology care in the state of Michigan.

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 physician specialists on staff, diabetes nurse educators, dietitians and social workers.

The following problems or diseases are diagnosed and treated:

  • Adrenal gland disorders including CAH (congenital adrenal hyperplasia), adrenal insufficiency and Adrenoleukodystrophy 
  • Diabetes Mellitus (Type I and Type II), MODY, neonatal diabetes
  • Pre-diabetes and metabolic syndrome 
  • Disorders of sexual differentiation and ambiguous genitalia
  • Glucose homeostasis and hypoglycemia
  • Growth and pubertal development problems
  • Parathyroid problems including hyperparathryroidism and hypoparathyroidism
  • Thyroid problems including hypothyroidism, Hashimoto's thyroiditis and Graves disease/hyperthyroidism as well as thyroid nodules and thyroid cancer
  • Total or partial Hypopituitarism
  • Genetic obesity syndromes

Multidisciplinary Clinics:
Cystic Fibrosis Related Diabetes Clinic
Diabetes Mellitus High Risk Clinic
Disorders of Sexual Development
Survivors of Childhood Brain Tumors/Neuro-oncology-endocrine Clinic

Endocrinology Conditions and Treatments

  • Adrenal Gland Problems
  • Diabetes Insipidus
  • Diabetes Type I
  • Diabetes Type II
  • Disorders of Sexual Differentiation
  • Growth Problems
  • Hypoglycemia
  • Hypoparathyroidism
  • Hypopituitarism
  • Hypothyroidism
  • Problems in Puberty

The Division of Pediatric Endocrinology also treats the following:

  • Adrenal gland disorders including CAH (congenital adrenal hyperplasia) and Adrenoleukodystrophy
  • Survivors of childhood cancer
  • Thyroid Problems including hypothyroidism, Hashinoto's thyroiditis, Graves disease/hyperthyroidism, thyroid nodules, and thyroid cancer

The Division also works closely with the Neurosurgical, Cardiovascular and General surgical teams as well as Nephrology, Pulmonary, Hematology/Oncology, Immunology and Gastroenterology.

Endocrinology Services and Innovations

The Division of Endocrinology at the Children’s Hospital of Michigan provides comprehensive care to children/pediatric patients with endocrine problems and diabetes mellitus.

Specialized services offered to newborns and older children include growth hormone testing and treatment, outpatient education, regular follow-up phone calls and research studies. Children with congenital adrenal hyperplasia, hypopituitarism, short stature, thyroid and parathyroid problems, diabetes insipidus, precocious puberty and other endocrine problems are regularly followed up in clinic by the pediatric endocrinologist, a pediatric nurse practitioner, endocrine nurses and a dietitian.

The Endocrinology Division at the Children’s Hospital of Michigan also offers the following services:

  • Classes for patients with new onset diabetes mellitus, 6 times a year
  • Insulin pump and continuous glucose monitoring classes, 6 times a year
  • Detroit area school nurse training program in August
  • A quarterly diabetes newsletter offering useful tips to manage diabetes. To receive the newsletter please email jrenaud@dmc.org
  • Diabetes mellitus support group
  • World Diabetes Day event yearly

The Diabetes Clinic treats the largest group of African-American children/pediatric patients with Type I diabetes in the country. Utilizing a team approach, the service consists of evaluation from a physician, a pediatric nurse practitioner, a diabetes educator, a dietitian and a social worker. 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 hour is available every weekday for insulin dose changes, prescription refills and other requests. Communication with families is offered via phone, fax and email for patient convenience.Outpatient education classes which meet the national standards for diabetes self-management education of the American Diabetes Association and the Michigan Department of Community Health are also conducted monthly. The doctors in the Division of Endocrinology also share their expertise throughout Michigan through the Wayne State University Morris J. Hood, Jr., Diabetes Center.

More Information

Patient & Family Resources

What are the Advantages and Disadvantages of an Insulin Pump?

by Kristen Shock on Nov 18, 2019, 10:50 AM
An insulin pump is a small, computerized device that delivers insulin continuously throughout the day. It attempts to mimic the normal pancreas’s release of insulin, but you must tell the pump how much insulin to deliver.

An insulin pump is a small, computerized device that continuously delivers insulin. It attempts to mimic the normal release of insulin from the pancreas. A pump delivers a small amount of insulin continuously – the basal rate. The basal rate helps keep blood sugars stable between meals and overnight, and replaces the need for your long acting insulin (I.E. Lantus/Basaglar/Levemir/Tresiba).

In addition to the basal rate you need insulin to “COVER” food and “CORRECT” high blood sugars which is called the bolus dose. You must tell the pump how many carbohydrates you are eating and what your blood sugar is following which your pump will calculate the appropriate bolus dose to be given.

Both the basal rate and bolus doses can be adjusted for certain situation, such as sick day management, hypoglycemia prevention, physical activity, etc.

Effective and safe use of the pump requires:

  • Commitment to checking blood sugars at least 4-6 times/day and/or continuous glucose monitor.
  • Ability and willingness to count carbohydrates
  • Understanding of insulin dose adjustment based on physical activity or type of carbohydrates eaten
  • Continued parental supervision
  • Consistent improvement in HbA1c (preferably <10%)
  • Basic understanding of diabetes, hypoglycemia, hyperglycemia and problem solving provided in diabetes outpatient education class.
  • Good communication with your diabetes team and if possible, the ability to download glucose data at home to share with your diabetes team.

The main advantages of pump therapy are:

  • Increased flexibility
  • Precise insulin delivery in smaller amounts (0.025 units minimum)
  • Reduced blood sugar variability
  • Helps manage overnight and early morning blood sugar variation
  • Easier to handle sick days
  • More options for exercise management
  • Ability to cover all carbohydrates, unless it is to prevent/treat hypoglycemia, physical activity, or otherwise discussed with your diabetes provider.  

The main disadvantages of pump therapy are:

  • Risk of diabetic ketoacidosis (DKA) from pump or site malfunction
  • Risk of skin infection or allergic reaction. 
  • Cost – pumps are expensive (insurance coverage varies by plan)
  • Having a visible medical device (NOTE: It is important for others to know you have a medical device in case of an emergency situation.)

Questions to ask yourself regarding pump therapy:

Are you ready for a pump?

Are you ready to be attached to a device 24 hours a day for insulin delivery?

Do you have realistic expectations (the pump is not magic)?

Are you comfortable with the technology?

Are you committed to testing blood sugar 4-6 times/day and/or continuous glucose monitor, counting all your carbs, bolusing consistently and communicating with your Diabetes Team on a regular basis?

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Insulin Pump Gives Girl Control Over Disease and Own Life

My father is a doctor and when we discussed her symptoms he recommended I take Elise to DMC Children’s Hospital of Michigan

- Elizabeth, Elise's Mother