The way your child grows, develops and even feels, can depend on how well their endocrine system is working. Endocrine disorders create hormone imbalances that can affect a child's health in many different ways. Our pediatric endocrinologists provide care, treatment, education and supportive services to children dealing with both common and rare endocrine disorders.
Made up of hormone-producing glands, the endocrine system controls many body functions such as growth and development, maturation, energy levels and mood.
And although Type 1 diabetes — also known as juvenile diabetes — is the most recognizable condition, Nemours pediatric endocrinologists treat other diseases of the endocrine system such as:
- puberty disorders: premature (precocious) puberty, delayed puberty
- growth disorders: short stature (growth failure), growth hormone deficiency
- thyroid diseases: hypothyroidism (Hashimoto’s disease), hyperthyroidism (Graves disease)
- pituitary disorders: diabetes insipidus, hypopituitarism
- adrenal disorders: Addison disease, Cushing syndrome
- polycystic ovary syndrome and other menstrual disorders
- genetic disorders: Turner syndrome, Klinefelter syndrome, Noonan syndrome, Russell Silver syndrome
- bone diseases and disorders of calcium and vitamin D: rickets and osteoporosis
- disorders of sexual differentiation
Please bring all outside records, growth curves, X-rays, lab results, glucose meters and pumps.
Other items to bring with you:
- photo ID
- medical and pharmacy insurance cards
- preferred pharmacy name and phone number
- names and dosage of all medications, including over-the-counter medication, your child is currently taking
- guardianship and custody papers, if a legal guardian rather than a parent accompanies your child
- Patient Presents Without Legal Guardian (PDF)
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Note: A parent or legal guardian must be with a child for a first visit.
Resources for Patients & Families
- Ronald McDonald House of Delaware: a safe, free, family-centered home away from home when your child is sick and needs to be hospitalized
Please request medication refills at the time you make your appointment — requests may take 72 hours to complete. Prescriptions cannot be refilled if your child hasn’t been seen in our clinic in the past 6 months.
When calling for a refill, please include:
- your child’s name
- medication name and dosage
- pharmacy name and phone number
Growth hormone therapy requires prior authorization for a brand on your insurance drug formulary. Please notify your insurance company to find out what brand(s) is covered (preferred) with a prior authorization.
When growth hormone therapy is recommended for your child, the following list of growth hormone manufacturer websites can be helpful educational resources to become comfortable in making a choice for your child. Many of them include such tools as product and device information, storage and safety information, financial support programs, and instructional guides and demonstration videos. Reimbursement Center Case Managers can assist with insurance benefit investigation and coordination of growth hormone therapy.
Growth Hormone Manufacturers
Manufacturer: Pfizer Inc.
Reimbursement Center: Pfizer Bridge
Contact Case Manager: (800) 645-1280
Manufacturer: Eli Lilly and Company
Reimbursement Center: HRC-Humatrope
Contact Case Manager: (800) 642-2340
Manufacturer: Novo Nordisk, Inc.
Reimbursement Center: Nordicare
Contact Case Manager: (888) 668-6444
Reimbursement Center: Nutropin GPS
Contact Case Manager: (866) 688-7674
Manufacturer: Sandoz, Inc.
Reimbursement Center: OmniSource
Contact Case Manager: (877) 456-6794
Manufacturer: EMD Serono, Inc.
Reimbursement Center: Connections for Growth
Contact Case Manager: (800) 582-7989
Manufacturer: Gate Pharmaceuticals
Reimbursement Center: Growth Solutions
Contact Case Manager: (866) 838-8767
As a parent, you know the importance of balance in your child’s life — and, so does your child’s body. Too many or too few of certain nutrients or hormones can result in an endocrine system disorder disorder that can affect the way your child feels, moves and grows. Nemours pediatric endocrinologists are here to ensure that your child's body is properly reaching that balance.
Advanced Care for Children With Growth and Hormone Problems
Whether your child’s symptoms are mild or severe, our board-certified pediatric endocrinologists at Nemours/Alfred I. duPont Hospital for Children in Wilmington, Del., have the experience and advanced training to recognize and treat your child’s endocrine disorder. We will assess and evaluate your child’s condition and offer the best treatment solutions to help your child start feeling better again.
For care that’s closer to your neighborhood, our pediatric endocrinologists also sees kids at our Nemours duPont Pediatrics primary care office in Seaford, Del., and at specialty care locations in Pennsylvania including: Bryn Mawr, Newtown Square and Philadelphia.
- disorders of puberty (delayed and early)
- adrenal disorders
- thyroid disorders
- growth disorders
- pituitary disorders
- disorders of reproduction
- sexual differentiation disorders
- metabolic bone disease and juvenile osteoporosis
- endocrine tumors, thyroid cancer
- Turner syndrome, Noonan syndrome, Russell Silver syndrome and Klinefelter syndrome
Our Nemours pediatric endocrinologists specialize in treating endocrine disorders in children. Along with our board-certified pediatric endocrinologists, your child's comprehensive care team includes:
- nurses with advanced training
- registered dietitians
- licensed clinical social workers
- certified diabetes educators (by the American Diabetes Association)
Our pediatric endocrinologists are experienced in evaluating diagnosing and treating children with all types of endocrine disorders. Some of the state-of-the-art technology and screenings we may use to help us assess your child’s condition include:
- X-rays (for bone age assessment and other tests)
- blood tests for endocrine disorders
- bone density
- body composition
- nutritional assessment
- growth hormone secretion tests
- hormonal deficiency tests
At Nemours/Alfred I. duPont Hospital for Children in Wilmington, Del., we offer a comprehensive, multidisciplinary program to provide the best possible care for children with X and Y chromosome variations such as Klinefelter syndrome, Turner syndrome and XYY syndrome. It's called the “Nemours eXtraordinarY Kids Program,” and addresses everything from genetic counseling, testing, diagnosis and family support to physical development, motor skills development, speech and language, social skills, behavior and academics.
At Nemours we believe in a family-centered care approach. To accomplish that, our treatment team will meet with you and your family every step of the way so that you're completely informed about your child's condition and recommended care. We'll help you identify needs and resources and help your child reach his or her full potential.
The treatment team for the Nemours eXtraordinarY Kids Program includes health professionals from a variety of areas, including:
- behavioral health (psychology, neuropsychology and psychiatry)
- developmental pediatrics
- nurse navigators
- physical, occupational and speech therapy
- social work
The team is led by Judith Ross, MD, a pediatric endocrinologist and the program's director. Dr. Ross is very well known in the field and has a vast amount of experience treating children with these conditions. In fact, she's devoted the greater part of her career to the study and treatment of X and Y chromosome variations. Her work with our eXtraordinarY Kids Program includes providing overall guidance concerning physical features, hormonal/endocrine issues and treatment, neurodevelopmental and genetic aspects, and any related medical concerns.
Because of the extensive research efforts of our dedicated physicians and scientists, children diagnosed with multiple endocrine disorders from around the United States and abroad are referred to Nemours/Alfred I. duPont Hospital for Children. These kids often have complex medical conditions and seek the expert care and advice of our pediatric endocrinologists.
No matter where your child receives care at Nemours, your medical team (including your primary care provider) can access your child’s medical history, test results and visit notes anytime through our award-winning electronic health record system.
You can also view parts of your child's health records, communicate with your Nemours care team, make appointments, request prescription refills and more through our MyNemours online patient portal.
At Nemours, we recognize the importance of the family in the care and healing process. Because many of the children we see have chronic illnesses that require repeated visits, we build strong relationships with our families that foster respect, dignity and collaboration. We’re also committed to educating children and families about the medical condition, and how best to manage it. Our goal is to get your child back to the business of being a kid as quickly as possible.