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Paediatric Endocrinology and Diabetes

Children's services (Paediatrics)

We are a team of professionals committed to support children and young people with endocrine disorders or diabetes.

We are a leading service in the East of England. We have been recognised as a centre of clinical excellence and research expertise in both diabetes and paediatric endocrinology.

We provide state-of-the-art family centred inpatient and ambulatory care to children from birth to age 19 years old, across the full spectrum of endocrine disorders, type 1 and type 2 diabetes, and other types of diabetes such as MODY and neonatal diabetes.

Meet the team

Our Receptionist

  • Rayna Serralheiro

Our Medical Secretary

  • Hannah Rundle

Our Diabetes Educators

  • Jen Ashford
  • Helen Hysted
  • Jenny Lee
  • Cliodhna Myles
  • Ruth Kearsey
  • Eilidh Nicol
  • David Lee

Our Endocrine Specialist Nurses

  • Karis Reyes
  • Susan Sparrow
  • Samantha Gorman
  • Betty Labeja

Our Consultants

  • Ken Ong
  • Ajay Thankamony
  • Rachel Williams
  • Emile Hendriks
  • Sandra Walton-Betancourth
  • Loredana Marcovecchio

Our Doctors in Training

  • Xanthippi Tseretopoulou
  • Vidya Viswanath
  • Geetha Nicholsion
  • Deji Jaiyesimi

Our Doctors Doing Research

  • Julia Fuchs

Our Psychology Team

  • Neena Ramful
  • Harriet Garfield

Our Play Specialist

  • Angela Musaid

Our Nurses Supporting Research

  • Julie Harris
  • Criona O’Brien
  • Ann-Marie Wardell
  • Suzanne Smith
Clinical Services

What Conditions do we Treat?

We provide care for a wide range of hormone (endocrine) conditions that can affect how children and young people grow and develop.

  • Growth and puberty disorders
  • Thyroid disorders
  • Pituitary disorders
  • Adrenal gland disorders (e.g. cortisol)
  • Disorders of sex development (differences in sex development; DSD)
  • Glucose disorders
  • Water and salt balance disorders
  • Bone health and calcium metabolism
  • Endocrine tumours and Endocrine Effects of Childhood Cancer
  • Complications related to excess weight
  • Polycystic ovary syndrome (PCOS) in adolescents
  • Genetic endocrine syndromes
Outpatient Care

Children and young people are seen at the Weston Centre on Monday to Fridays from 09:00 to 17:30 hours.

Diabetes

  • Monday morning (Annual Review)
  • Monday afternoon (Diabetes Technology)
  • Thursday morning (Diabetes in children < 13 years)
  • Thursday afternoon (Diabetes in children 13-16 years and Transition clinic for young people 16 to 19 years jointly with the Adult Diabetes team)
  • Friday morning (Technology clinic and High HbA1c clinic)
  • Diabetes Educator led clinics (Monday to Friday, various times)
  • Diabetes Dietician consultations (Monday to Friday, various times)
  • Psychology consultations (Monday to Friday, various times)

Endocrinology

  • General endocrinology (Tuesdays and Wednesdays)
  • Severe Insulin Resistance (2nd and 4th Tuesday of each month)
Joint Multidisciplinary clinics
  • Bone health (with Paediatric Rheumatology)- Second Monday of each month
  • Endocrine late effects of childhood cancer (with Paediatric Oncology) - First Monday of each month
  • Endocrine Transition (with the Adult Endocrine team)- On a Monday four times per year
  • Disorders of Sex development (with Paediatric Urology and Gynaecology) - Second Tuesday of each month
  • Endocrine genetics (with Clinical Genetics) - Wednesday, once a month
  • Hyperlipidaemia – On a Monday six times per year
  • Complications related to excess weight (with Dietetics, Psychology and others)
  • Neuroendocrine tumors (with the Adult Endocrine team)
Inpatient Care

Children and young people requiring inpatient care are admitted to the Paediatric Wards (D2, C3 and F3) at Addenbrookes Hospital.

We provide daily subspecialty reviews and overview dynamic endocrine testing when required.

We work in partnership with other subspecialties within the Trust to provide specialist support in neonatal and paediatric intensive care settings.

Elective admissions are coordinated by our team of Nurses. They contact families to discuss and agree admission plans.

Non-urgent advice: Out of Hours Emergency Care

Endocrinology

We provide 24 hours endocrine advice for medical professionals across the East of England. Families are advised to contact their GP or attend A&E for medical advice.

Diabetes

We provide 24-hour regional diabetes out of hours support in a regional consortium of Paediatric Diabetes teams. This service is available for clinicians and families of children and young people with type 1 diabetes attending our service.

What treatments do we offer?
  • Management of hormone deficiencies: replacement therapy for thyroid hormone, growth hormone, adrenal hormones, testosterone, oestrodiol, vasopressin
  • Management of hormone excess: suppression of early puberty, Cushing syndrome, thyroid over-secretion, hyperinsulinism, other hormone excesses
  • Other hormone therapies: growth hormone therapy for short stature (various conditions), bone fragility (zolendronate or pamidronate infusion), Leptin therapy for severe insulin resistance
  • Management of type 1 diabetes and other forms of diabetes: multiple daily insulin injections; continuous subcutaneous insulin infusion; hybrid closed loop therapy
What to expect if you come to see us in clinic (Weston Centre)?

You will meet one of our very experienced Nurses who will ask you a few questions and measure you (parent’s height at your first visit, and child’s height, weight, blood pressure and pulse rate. If blood tests are likely to be performed at this visit, ‘numbing’ cream may be offered.

As Addenbrookes Hospital is a University Hospital, our clinics are often attended by Health Care professionals (doctors and nurses) in training. Your child will be seen by a Consultant or Doctor at the late stages of their training, and may be accompanied by a Medical or Nursing student. You will be offered the option to not include students at your consultation.

During the consultation, a management plan will be agreed with you and your child. If a follow up appointment is required, you can book this at the same visit, otherwise, we will book it at a later date and send you the details by post.

What to expect if you have been asked to come to the Paediatric Day Unit

Endocrine stimulation tests (these may take between 1 to 3 hours) are performed by our specialist nurses in the Paediatric Day Unit or on the ward (for inpatients).

Referral Information

Children and young people can be referred by their GP, a general paediatrician or another specialist team. We are unable to accept self-referrals.

All referrals are reviewed and prioritised by a consultant.

New cases of diabetes are often admitted through the Emergency department and after a few days on an inpatient ward are the followed up in our outpatient diabetes clinics.

Research and Training

We work in partnership with the University of Cambridge, through the University Department of Paediatrics, Institute of Metabolic Sciences, and Medical Research Council Epidemiology Unit.

We are a centre for paediatric research in diabetes and endocrinology, leading or collaborating in a large number of national and international studies:

  • CLOuD (Artificial Pancreas Study for patients with newly diagnosed Type 1 Diabetes) and other closed loop studies
  • INNODIA (An innovative approach towards understanding and arresting Type 1 Diabetes
  • ITAD (Interleukin-2 Therapy of autoimmunity of diabetes
  • ADDRESS2 (Database for patients with Type 1 Diabetes)
  • MELD-ATG (Minimum effective low dose - Anti-human thymocyte globulin in type 1 diabetes)
  • studies on growth hormone therapy, small for gestational age, disorders of sex development.

We are committed to the training of health care professionals (doctors, nurses, dieticians, and psychologist) in Paediatric Endocrinology and Diabetes.

We provide subspecialty training for doctors completing the GRID training in Paediatric Endocrinology or the Specialist Interest Module in Diabetes, both programmes fully accredited by the Royal College of Paediatrics and Child Health.

Networks we are part of

East of England Children and Young People’s Diabetes Network: set up in 2010 with the aim of improving and standardising care for all children and young people with type 1 diabetes across the East of England. The network is made up of 13 hospital trusts – comprising 17 units delivering care to around 3000 children and young people with type 1 diabetes.

News and Events

Info to be added later