helping patients develop and maintain a healthy lifestyle
Dayton Children’s hyperinsulinism clinic focuses on patients with moderate to severe hyperinsulinism, metabolic syndrome and risk for type 2 diabetes.
Our hyperinsulinism team includes a medical assistant, dietitian and the lead physician Dr. Nicholson. They will help develop a treatment plan just right for your child to prevent the development of insulin resistance, diabetes, and metabolic syndrome through diet, exercise and medication.
When a child with high insulin levels and risk for diabetes visits the hyperinsulinism clinic our goals for them are:
- Help them lose weight
- Prevent them from developing insulin resistance, diabetes and metabolic syndrome
- Assist them in developing and maintaining a healthy lifestyle
why visit the hyperinsulinism clinic?
Rapid weight gain, certain signs on a physical exam or history in your family led your child’s health care provider to refer you to the this clinic. They may be concerned about levels of a hormone called insulin and condition called hyperinsulinism and insulin resistance. Most likely your health provider has done fasting blood work on your child, which indicated higher than normal insulin levels.
Please be aware that if that blood work was not done or not done fasting, we will do it after your visit. Also be aware that even if blood work was done, additional blood work or a glucose tolerance test may be required after your appointment.
A high insulin level does not necessarily mean that your child has diabetes. For most children, it means the child is at higher risk of developing diabetes. Often, weight gain is causing insulin levels to be elevated which can over time lead to more weight gain and diabetes.
how is this clinic different from lipid clinic?
Your primary health provider may have previously sent you to the lipid clinic here at Dayton Children’s. Or you may have heard that we have lipid clinic in addition to the hyperinsulinism clinic. While both clinics see children with weight gain issues the lipid clinic sees children with weight issues and high cholesterol (or weight issues alone), while the hyperinsulinism clinic sees children with weight issues and a high insulin level. However, a high insulin level and weight gain may also cause high cholesterol levels. If present, this will be addressed at your appointment.
preparing for your first visit
We work to provide you the best care possible. By completing the steps below before your first visit to the hyperinsulinism clinic, you will help us to give you the best patient experience.
- Fill out this history form. This form can take 10-15 minutes to complete. Completing the form at home before your visit will speed up your appointment.
- Track all food intake for 3-5 days and take notes on how the patient feels after a half hour. Once this is completed please submit the information in our food diary form prior to your appointment.
- Make a list of questions concerning your child's diagnosis, treatment and diet.
- Bring your insurance card and a photo ID.
what will be done at this initial visit?
Because your initial visit will include a nutritional assessment the visit will be at least one hour. You may have to wait slightly longer if you did not fill out the history form previously.
After we complete the initial history, the doctor will review the history with you, examine your child and go over test results obtained by your primary care physician. Then the doctor will discuss hyperinsulinism and insulin resistance syndrome with you and discuss additional testing and treatment plans. Treatment may consist of diet and exercise along with medications.
After discussion, your child will be seen by the dietitian. Meal and exercise plans will be made for your child. You will then be scheduled for a follow up appointment. These appointments will last about 30 minutes.