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Paediatric Diabetes (Markham Site)

Type 1 diabetes, formerly referred to as “Juvenile” or “Insulin Dependent Diabetes” occurs when the pancreas no longer produces insulin.  This affects over 200,000 children and adolescents across Canada with the greatest rise occurring in five to nine year olds.

The Government of Ontario supports children with Type 1 diabetes through the Assistive Devices Program. Children meeting criteria and requesting pump therapy may be eligible for full funding to assist in diabetes management.

The MSH Paediatric Diabetes Program is the longest running diabetes program in York Region, caring for patients up to 18 years of age. Our multidisciplinary team includes a paediatric endocrinologist, diabetes nurse educators, a registered dietician and a social worker.

Upon diagnosis, children are scheduled for a series of visits to our Paediatric Diabetes Daycare Program. This unique 3-day service provides children and their families with the tools and skills needed to manage their condition, including medication management and nutritional education.  Children are then guided and supported through follow up, every 3 months until the age of 18, through the Paediatric Diabetes Clinic. We provide phone support for families who have questions about their child's diabetes management. Here are some of the services we provide:

The Future - Tracey Rubinoff Paediatric Diabetes ClinicTracy Rubinoff
Diabetes is on the rise. When children are diagnosed with diabetes there is an overwhelming amount of education necessary to keep them safe.  Diabetes educators and specialists are continually challenged to find creative and innovative ways to educate children and their families.

With support from the Tracey Rubinoff Foundation,our new state-of -the-art Diabetes Clinic ensures we continue to meet the needs of our growing community. Patients will benefit from the East Markham Community Centre & Library's location on our campus, creating a centre of health & wellness.

For more information and to support the Tracey Rubinoff Foundation please visit www.traceyrubinofffoundation.org

Care We Provide

Paediatric Diabetes Daycare
We understand that a diagnosis of diabetes and the thought of staying in a hospital can be very stressful for children and their family.  For this reason, we have created an outpatient program designed to teach children and their family how to manage their diabetes, focusing on survival skills such as blood testing, diet and insulin administration. 

Children who are newly diagnosed with diabetes are scheduled for a series of daycare visits.  Most children require three consecutive days of education.  Parents and children will arrive before breakfast and go home to sleep each day.

Outpatient Clinic
Members of our diabetes healthcare team give advice about issues such as changes in routines or insulin dosage, and identify any problems that may be interfering with the day-to-day management of your child’s condition. In addition to giving remedial advice, our team will monitor your child’s growth and perform any necessary tests, including a Haemoglobin A1c assessment, the most widely used measure of long-term glycaemic control in diabetes.
We hold our Outpatient Clinics Monday to Friday. Patients should attend at three-monthly intervals.
It is important for children with diabetes to attend regular follow-up clinics, so that we can identify any problems promptly and give advice on how to manage the condition successfully.
Insulin Pump Program
Patients meeting eligibility criteria are given a three-month pump trial, education and follow-up about insulin pumps. This is an ongoing part of our multi-disciplinary care and teaching.
This initiative is fully funded through the Ministry of Health Assisted Devices Program for patients up to 19 years of age.  Coverage includes funding for insulin pumps and supplies.
Annual Diabetes Day
Watch out for our Annual Diabetes Day at the Markham site, presenting programs of interest and inspiration to our community families dealing with childhood diabetes.
Peer with Diabetes
In response to requests from parents, teachers and students with diabetes, we have developed an interactive program to help classmates of a peer with diabetes to understand the many challenges they overcome each day.
Primary, Junior and Intermediate programs are available, run by members of our Diabetes Education Centre.
Young Adult Transition Program
Effectively transitioning our young adult patients (18 and over) to Adult Diabetes Care is critical to long-term, successful management of their condition.
Our program begins at the age of 16 and involves an individualized assessment, a resource transition guide and a formal plan of care. Children are connected with an adult program and staff are available to assist in this decision making. Often it makes sense to connect close to school.


Blood Sugar Record

Log Sheet for Insulin Pumps

Young Adult Transition Guide

Useful Links

Mental health & Diabetes - Tips sheet by Markham Stouffville Hospital

Calorie King - website and app for smartphones

Canadian Diabetes Association - basic carbohydrate counting

Canadian Diabetes Association - school package for caregivers

Carbohydrate Counter

Children With Diabetes - variety of resources

HeretoHelp - psychosocial support

Juvenile Diabetes Research Foundation

Search Institute - 40 developmental assets, tips for building self esteem ,support and empowerment

Trillium Drug Benefits - forms