There is a whole list of checks that are usually covered in your endocrinology appointments these are usually 6 monthly or yearly appointments with a specialist.
Paediatric appointments:
Diagnosis list
- Pre or post natal diagnosis
- Karyotyping
- Genetic counselling
- Cardiology refferal
- Pelvic/Renal ultrasound
- support group refferal
- Growth treatment started
- Growth hormone stopped
- Monitor for spontaneous puberty commencing by 10 years
- If not consider pelvic ultrasound
- Induce puberty through hormone replacement
- First period
- Mainstream school
- Additional support if required
- Specify any educational difficulties
Alongside this there is regular monitoring that occurs at different intervals they include:
- Height, Weight and BMI each visit
- Blood pressure each visit
- Thyroid function and antibodies in the form of bloods 1-2 yearly
- Coeliacs screen in the form of bloods 1-2 yearly
- Glucose and HbA1c (Diabetes) Blood test yearly
- Glucose tolerance as required
- IGF-1 insulin bloods yearly
- Insulin level as required
- Liver function Prior to puberty and in adult transition
- Bone age through a scan yearly
- Pelvic/Renal ultrasound at diagnosis then as required
- Dietary advice as required
- Hearing screen as required
- Speech Problems assessment and referrals as required
- Cardiology referrals at diagnosis then as required
- Opthalmology referrals as required
- Podiatry referral as required
- Dermatology referrals as required
- Orthopedic referrals as required
- Orthodontic referrals as required
- Clinical psychology as required
- Genetics referral at diagnosis and then as required
- Support group referral at diagnosis then as required