Diabetes Comprehensive Care Program


This unique program takes a multidisciplinary approach to managing patients with diabetes and its related complications. Patients receive comprehensive, one-stop care. The program includes:

  • Prevention and research into the causes of diabetes and its associated complications, which is becoming more common with the aging population. Research in vascular biology, metabolic regulation, risk modification, lipids, complication progression, patient impact and end-stage renal disease management.
  • Risk reduction and treatment of heart attacks, kidney failure, circulatory problems and other concerns. Treatment from experts in the areas of nephrology, endocrinology, nutrition, urology, ophthalmology, pharmacy, nursing and social work.

Centre for Diabetes and Endocrinology

Over nine million Canadians have diabetes or prediabetes, and three to five percent of the population have undiagnosed Type 2 diabetes. In fact, diabetes is the leading cause of death among all diseases in North America. Complications of untreated or poorly managed diabetes include heart disease, kidney disease, eye disease and foot complications as a result of nerve damage. Fortunately, the management of diabetes is possible through a number of strategies:

  • Education
  • Healthy eating
  • Physical activity
  • Management of healthy weight
  • Medication
  • Smoking cessation
  • Blood pressure control
  • Self-blood glucose monitoring

A referral from your family physician is required to be seen in the Diabetes Clinic.

Contact Us

Centre for Diabetes and Endocrinology
St. Michael’s Health Centre, 7th Floor
61 Queen St. East
Toronto, Ontario
M5C 2T2
Phone: 416-867-7424
Fax: 416-867-3654

Programs and services

Diabetes Care Centre

Individual appointments with nurse educators, dietitians, social workers and pharmacists are available for people with Type 1 and Type 2 diabetes on insulin.

We offer the following programs:

A referral form from a St. Michael’s endocrinologist for classes or clinic is required.

Diabetes Clinic

New patients are assessed by an endocrinologist.

Support services include:

  • registered nurse
  • pharmacist
  • registered dietitian
  • chiropodist (foot specialist)
  • social worker
  • psychiatrist
  • referrals to other specialists

We are also involved in many research studies of new dietary interventions or medications to reduce the risk of complication of diabetes, including heart and kidney problems.

Young Adult Diabetes Clinic

This clinic is for young adults (ages 18-24) transitioning from pediatric diabetes care to the adult setting. Our multidisciplinary team specializes in managing the needs of young adults with diabetes. At each visit, a patient will see an endocrinologist, social worker and diabetes educators. The clinic also has a psychiatrist.

Diabetes in Pregnancy Clinic

This clinic is for management of diabetes in pregnancy. Each patient is seen by a team consisting of an endocrinologist, diabetes educators and perinatologist (specialist in high-risk pregnancy). Treatments and follow-up sessions are available on a weekly basis.

Insulin Dose Adjustment Clinic

In this clinic, each patient will be seen by a nurse for insulin adjustment and management.

Basal-Bolus Clinic

This clinic is for patients who are using insulin either through multiple daily injections or an insulin pump. Patients in this clinic will be seen by our team of diabetes educators, who will assist each patient with adjusting their insulin and diet to improve their diabetes control.

Cholesterol Management Clinic

Patients in this clinic see a dietitian either one –to-one or in the Cholesterol Management Class. Patients will then follow-up with their endocrinologist to assess their cholesterol medicine.

Endocrine Clinic

This clinic is for patients referred for help with the diagnosis or treatment of endocrine disorders, which may involve one of several hormone-producing glands, such as the thyroid, pituitary, adrenal, parathyroid, ovaries or testes. Patients are seen by residents (doctors in training) and one of the many St Michael's Hospital endocrinologists. We have access to sophisticated hormonal testing, medical imaging, and surgeons at St Michael's Hospital, and are proud to offer state-of-the-art treatment designed with the patient in mind.

Resources for patients

Lipid Clinic

This clinic is for patients referred for help with the diagnosis or treatment of abnormal lipid (cholesterol) levels. Our team specializes in managing adults who are at high risk for future cardiovascular disease either because of risk factors, or because of a known family history of heart disease. Patients are seen by a registered dietitian and a physician for assessment and promotion of healthy lifestyles as well as medical management, if required. We are also involved in many research studies of new dietary interventions or medications to reduce the risk of heart disease.

Osteoporosis and Metabolic Bone Disease Clinic

This clinic was the first of its kind in Toronto and has been an exemplar for others to follow. The multidisciplinary team of endocrinologists, rheumatologists, internists, gynecologists, nurses and dietitians investigate and manage patients with osteoporosis and other metabolic bone diseases with state of the art equipment and biochemistry tests. The centre is also involved in “cutting edge” clinical research.

Resources for patients