Paediatric diabetes clinic

Flood Update

Please be aware that due to a flood in the clinic, we have been temporarily relocated within the hospital. Our normal processes have been disrupted, please expect minor delays and possible change to appointment times.

Paediatric Diabetes:  The Tracey Rubinoff Paediatric Diabetes Clinic

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 dietitian and a social worker.

Type 1 diabetes, sometimes 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.

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.

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:

  • Paediatric Diabetes Daycare
  • Outpatient Clinic
  • Insulin Pump Program
  • Annual Diabetes Day
  • Peer Support
  • Young Adult Transition Program
  • Continuous Glucose Monitoring
  • High Risk Programs
  • Affiliation with research opportunities

With support from the Tracey Rubinoff Foundation, our state-of -the-art Diabetes Clinic ensures we continue to meet the needs of our growing community.

For more information and to support the Tracey Rubinoff Foundation please visit Tracey Rubinoff Foundation Unveiling.

Care we provide

 Paediatric Diabetes Daycare

MSH has 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. Our day program is designed to reduce the stress that a diabetes diagnosis may cause children and their families by not admitting children to the hospital and letting them stay at home.

 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 advice, our team will monitor your child’s growth and perform any necessary bloodwork, 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.

 NEW - Paediatric Lifestyle Clinic

This clinic supports patients aged two -17 who are overweight or obese, in making lifestyle changes to help them lead a healthy lifestyle and have a better quality of life. Patients who have type two diabetes, pre-diabetes, insulin resistance, dyslipidemia, hypertension, fatty liver or other complications from obesity will benefit from this clinic. A pediatric endocrinologist provides an initial consultation with follow up visits every three months. Patients will also see a registered dietitian monthly for ongoing education and counselling, and have access to group education classes on a variety of topics.

Physician referral required.

 NEW - General Paediatric Nutrition Services

Patients and families may access nutrition counselling services for concerns with their children including constipation, picky eating, slow/poor weight gain, Celiac disease, and other feeding issues. These patients will be seen by a Pediatric Registered Dietitian and will have access to follow up visits as determined and needed by their medical condition.

Physician referral required

 Insulin Pump Program

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 funding to assist in diabetes management.

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.

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. There are many factors to consider when choosing an adult physician often it makes sense to connect close to school, others may want to have a physician closer to home.

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.


Blood Sugar Record

Log Sheet for Insulin Pumps