Research and Clinical Care Are in Harmony Pediatric Diabetes

This article originally appeared in Star Chronicle, a newsletter published for the Children's Medical Center.

Balancing patient care and clinical research is a challenge the Division of Pediatric Endocrinology and Diabetes is mastering. "Through our academic partnership with UMass Medical School and a team that has grown extensively, research is an important part of our overall effort to provide excellent patient care," explained Mary Lee, MD, chief of pediatric endocrinology.

Currently, six pediatric endocrinologists follow more than 2,000 endocrinology patients; 600 are diagnosed with diabetes. "We offer our patients a team approach to care and integrate a treatment plan that involves the child and family," said Dr. Lee.

The focus on teamwork and family runs parallel in both hospital care and research. For example, current diabetes research initiatives include a screening and prevention trial for at-risk relatives of children with type 1 diabetes, a sibling study on psychosocial family dynamics, a pilot program utilizing new tools to educate parents, and comparing treatments for children with type 2 diabetes.

The team is also involved with the Barton Center for Diabetes Education in Oxford. Dr. Lee is a trustee and camp medical director, while other team members serve as camp physicians. Meanwhile, a collaborative effort with Taniya de Silva, MD, adult endocrinologist, helps teens transition from pediatric to adult endocrinology care.

Michael Stalvey, MD, is one of a few pediatric endocrinologists in the country who specializes in endocrine disorders affecting cystic fibrosis (CF) patients. "Because endocrine disorders become more prevalent as CF patients grow older, it is critical that we study secondary conditions affecting them," said Dr. Stalvey.

Other research interests include vitamin D and inflammation in obesity, effects of environmental chemicals on children, and newer treatments for problems with growth and puberty.