General Paediatric Endocrinology Clinic
We manage children and adolescents with growth and pubertal issues, thyroid disorders, pituitary disorders and adrenal disorders. We perform the dynamic stimulation tests including the exercise growth hormone stimulation test, insulin and glucagon growth hormone stimulation tests, synacthen stimulation test, LHRH stimulation test for precocious puberty, as well as the dexamethasone suppression tests for Cushing syndrome. Various treatments are available for hormonal deficiencies including male hormone replacement for Hypogonadism, GnRH analogues for central precocious puberty and growth hormone therapy for growth hormone deficiency,
Turner syndrome, chronic renal failure, Prader Willi syndrome, children who are small for gestational age and children with idiopathic short stature.
Children and Adolescent Diabetes Clinic
This is a one-stop clinic for children and adolescents with
diabetes mellitus (Type 1, Type 2, drug-induced, cystic fibrosis related or others). A team comprising paediatricians specialising in diabetes, dietitians and diabetes nurse educators work together to provide a holistic approach for our patients and their families. There is also a special insulin pump clinic reserved for the assessment and follow-up of patients with diabetes using the insulin pump.
Late Effects Clinic
With the improved medical treatment for childhood cancers, there is an increasing number of cancer survivors suffering from the endocrine effects of their previous treatment. The Late Effects Clinic reviews the hormonal problems encountered by these survivors of childhood malignancy who have suffered from the effects of cranial irradiation and chemotherapy.
The Transition Clinic ensures that adolescents with chronic endocrine issues (including
diabetes mellitus) are formally introduced to an adult endocrinologist at NUH once they reach adulthood. This ensures seamless continuation of medical care. Started in 2012 (followed by the diabetes transition clinic in 2014), the Transition Clinic is in line with our philosophy of extending holistic care to all our patients.
Youth Lifestyle Change Clinic (Weight Management Clinic)
The multidisciplinary obesity team consists of a paediatrician specialising in endocrine disorders in children, a dietitian, an occupational therapist, a physiotherapist and a nurse clinician. Our team provides a one-stop obesity clinic with access to the full range of services. The paediatrician is the main coordinator of care, monitoring and treating complications of
obesity. The dietitian customises and individualises a healthy diet for each obese child based on food preferences. The role of the occupational therapist is to motivate the child and provide parents with valuable strategies to reinforce the child's healthy living. The physiotherapist advises on the exercise regimen and encourages the child to maintain the exercise programme. As a team, together with the child and family, we aim to combat obesity, improve the quality of life and prevent the complications of obesity.