The outpatient clinical services are operated in the form of an outpatient "clinic" that meets three half-days per week at St. Louis Children's Hospital, and approximately four half-days per month at St. Louis Children's Hospital Pediatric Center at Missouri Baptist Medical Center.
These services account for approximately 3,700 patient visits per year. Approximately 40% of these represent patients with diabetes and approximately 600 of these represent new patient consultations with other endocrine-related disorders or growth problems.
The Outpatient Endocrinology Service evaluates and follows children with all types of endocrine disorders. These include children with disorders of growth, pubertal development (delayed or precocious), thyroid disorders, adrenal disorders (including adrenal insufficiency, Cushings syndrome, and congenital adrenal hyperplasia), hypopituitarism, and disorders of bone and mineral metabolism. In addition, children with metabolic diseases or hormonal abnormalities associated with hypoglycemia are also evaluated and followed.
The Diabetes Service acts as a referral service following a wide variety of diabetic children and teenagers. The Diabetes Service operates in close collaboration with the primary care physician in the community but offers a full range of services related to diabetes care. Currently, there are approximately 1000 patients with diabetes followed on this service and 700-800 of these are seen regularly 2-5 times per year.
The Division of Endocrinology and Metabolism provides 24-hour on-call coverage to all patients including those with diabetes. The division provides clinical nurse specialists, nutritionists, a social worker, and a psychologist to assist in the care of chronic diseases, especially diabetes.