Diabetes is a metabolic condition leading to elevated glucose (sugar) levels in the blood. Insulin is a hormone that controls the amount of glucose in the blood. Type 1 diabetes is a chronic condition where the pancreas produces little or no insulin. Type 2 diabetes occurs when your body does not use insulin properly. We take a holistic approach to diabetes health as our multidisciplinary team includes: physician specialists, clinical nurse specialists, a registered dietitian and a social worker.
This program offers a multidisciplinary, integrated approach for patients with Type 1 diabetes, emerging adults with Type 1 diabetes (ages 18-25), and complex patients with Type 2 diabetes. The program leads an insulin pump program providing resources and support for patients on insulin pumps.
Once a completed referral has been received, you will be notified of an appointment date and time by a member of our administrative staff.
We would ask that you plan to arrive at least 10-15 minutes before your scheduled appointment time so that we can complete your registration.
Please remember to bring your Ontario Health Cardopens in a new window with you to this appointment. Please Note: If you do not have a valid Ontario Health Card, you will be required to pay directly for the clinical service(s) provided at the time of your visit. Details are available from any of our program secretaries.
The appointment is about 1-1.5 hours. Remember to bring a list of your medications including any vitamin or mineral supplements and herbal remedies. You may be asked to complete some blood work at the conclusion of your appointment. These tests can be done at the hospital right after your appointment (usually there is no preparation for these tests).
If you are unable to keep your appointment, please notify the program scheduling secretary at 416-323-6170 to cancel and/or re-schedule your appointment.
The Nurse Practitioner (also a Certified Diabetes Educator) works in consultation with the endocrinologists and multidisciplinary health care team to help individuals living with Type 1 diabetes, Type 2 diabetes or polycystic ovary syndrome manage their condition. Through collaboration with the individual, the Nurse Practitioner assesses their health care goals and needs and provides counselling, education, health promotion and revises treatment plans on an ongoing basis.
Advanced Practice Nurse
The Advanced Practice Nurse (also a Certified Diabetes Educator) works in consultation with the endocrinologist to improve the health and well being of individuals living with diabetes. Through individual counselling, the Advanced Practice Nurse educates and facilitates self management techniques to patients with Type 1 diabetes, Type 2 diabetes and those on insulin pump therapy.
The clinical social worker is involved in the psychosocial and behavioural issues of diabetes, helping a diverse population cope and adjust their lifestyle to be able to manage their diabetes. This can include: locating financial/compassionate programs to assist with the costs of diabetes medication and supplies; to developing coping strategies when managing life stressors (work, financial, family, extended family, other medical concerns and taking care of one’s diabetes as they manage their life).
The Registered Dietitian (also a Certified Diabetes Educator) works in consultation with the endocrinologist and interprofessional health care team to provide nutritional assessment and education to individuals living with Type 1 Diabetes, Type 2 Diabetes and polycystic ovary syndrome. The dietitian works closely with patients to identify specific nutritional needs and design a care plan that works with the individuals’ lifestyle.
Physician Specialists (Endocrinologist)
The Endocrinologists specialize in the treatment of hormone imbalances to help restore the normal levels of hormones in the body.
Dr. Afshan Zahedi
Afshan Zahedi, BASc, MD (Active Staff, Clinician Teacher, Assistant Professor, Division of Endocrinology, Department of Medicine, University of Toronto) Primary appointment in Division of Endocrinology at Women's College Hospital with cross appointment to Division of Endocrinology UHN/MSH. Dr. Zahedi is involved in both undergraduate and postgraduate education at the Faculty of Medicine. Her research focuses on Quality Improvement with a multidisciplinary approach to delivery of health care. She is currently the Medical Director of the Thyroid Program at Women’s College Hospital and focuses on implementing multidisciplinary (surgical and medical) team approach to Thyroid cancer. Other research includes impact of continuing education for primary care and allied health professionals to improve outcomes for chronic disease management including diabetes in geriatric populations.
Dr. Catherine Kelly
Catherine Kelly, MD, FRCPC is a Clinical Educator and a Professor of Medicine at the University of Toronto. She is the former Division Director of Endocrinology at Women’s College Hospital, and the former U of T Endocrine Postgraduate Program Director from 1999 to 2007. She is the Peters Boyd Academy Director for the academic year 2009/2010 and is site director of the PB Academy at WCH since 2007-2013. She is a faculty member of the Institute for Healthcare Communication and is the University DOM Champion for the Communicator role. She has expertise in implementing Lean Management processes into clinical settings. Her clinical interest is in thyroid disease and she has created a Thyroid Cancer Program at WCH. She has won several teaching awards.
Dr. Geetha Mukerji
Geetha Mukerji, MD, MSc, FACP, FRCPC (full-time staff, Clinician in Quality and Innovation, Assistant Professor, University of Toronto). Her primary appointment is in the Division of Endocrinology at Women's College Hospital with cross appointment to Division of Endocrinology at UHN/MSH. She has a Master’s degree in Quality Improvement and Patient Safety from the Institute of Health Policy and Management Evaluation at the University of Toronto. Her clinical interests include general endocrinology, diabetes, endocrinology in pregnancy care, PCOS, and thyroid diseases. She is actively involved in the Young Adults Type 1 diabetes Transition Care program at WCH. She also works in General Internal Medicine in the Acute Ambulatory Care Unit and has a special interest in the care of patients with chronic, complex diseases. Her academic interests include: 1) system quality improvement efforts for those with complex chronic diseases such as diabetes 2) quality improvement in endocrinology in pregnancy care and transitional care populations, and 3) safety and quality care processes in the ambulatory setting. She is an active clinical teacher in the endocrine division at WCH and also has a strong interest in teaching quality improvement and patient safety to undergraduate and post-graduate trainees.
Dr. Iliana Lega
Iliana Lega, MD, MSc, FRCPC is an Assistant Professor in the Department of Medicine. She has a Master’s degree in Clinical Epidemiology from the University of Toronto and is a Clinician Scientist at the Women’s College Research Institute. Her research interest is in diabetes and cancer, with a specific focus on cancer survivorship. Her reserch has specifically focussed on the association between diabetes and breast cancer outcomes. Her other active research interests include evaluating the risk of endocrine complications, including diabetes, following cancer treatments in both children and adult cancer survivors. Clinically, she is involved in the joint Gynecology-Endocrinology Premature Ovarian Insufficiency and Turner’s syndrome clinics. Other areas of clinical interest include osteoporosis and reproductive endocrinology.
Dr. Lorraine Lipscombe
Lorraine Lipscombe, MD, MSc, FRCPC is an Associate Professor in the Department of Medicine and Institute for Health Policy Research and Evaluation at the University of Toronto. She has a Master’s degree in Clinical Epidemiology and is a Clinician Scientist at the Women’s College Research Institute and an Adjunct Scientist at the Institute for clinical Evaluative Sciences in Toronto. She is the director of the Centre for Integrated Diabetes Care at WCH, and coordinates the Young Adult Type 1 Diabetes Transition Program. Her research interest is in diabetes epidemiology and health services, with a specific focus on the association between cancer and diabetes and improving diabetes prevention in women with previous gestational diabetes.
Dr. Rosario Briones
Rosario Briones-Urbina, MD, PhD, FRCPC Assistant Professor of Medicine in the Division of Endocrinology and Metabolism at the University of Toronto. She is an Endocrinologist at Women’s College Hospital. She is the Chair of the Women’s College Department of Medicine Education Committee and the Chair of the Medical Grand Rounds Committee. She served in the Division of Endocrinology Postgraduate Education Committee. She was the Division of Endocrinology representative to the University of Toronto Department of Medicine task force on Continuing Education and Knowledge Translation & Exchange from 2004 to 2009. Dr. Briones-Urbina is an active teacher in undergraduate, postgraduate and continuing medical education and has been the recipient of several education awards. Her clinical interests are in thyroid cancer, adrenal disease, and osteoporosis. She is the WCH endocrine division lead for CE program development.
Dr. Sandra Kim
Sandra Kim (MD, MSc, FRCPC) is an Assistant Professor of Medicine and Clinician Teacher at the University of Toronto. She completed the Master Teacher Program and was the former site Education Coordinator for Endocrinology at WCH. She is currently the Medical Director of the Centre for Osteoporosis & Bone Health at Women’s College Hospital and a member of the Scientific Advisory Council for Osteoporosis Canada. She is involved with the Ontario Osteoporosis Strategy as a lead in the Inter-Professional Education initiative and Osteoporosis Care Outreach delivered through the Ontario Telemedicine Network. Dr. Kim is the recipient of several education awards and has an interest in quality improvement and patient safety strategies.
Dr. Sheila Laredo
Sheila Laredo, MD, PhD, FRCPC is a Clinical Teacher and an Associate Professor of Medicine at the University of Toronto, in the Division of Endocrinology. She is the Chief of Staff at Women’s College Hospital. She has a PhD in Clinical Epidemiology. Her clinical focus is in polycystic ovary syndrome (PCOS), reproductive endocrinology, insulin resistance and lifestyle interventions. She has expertise in implementing Lean Management processes into clinical health care settings. Dr. Laredo also has expertise in the Health Advocacy role, working with different levels of government to help develop health policy, training initiatives, and clinical practice guidelines, with a special interest in autism and developmental disabilities. She is currently the Vice Chair of the Board of Directors for the NeuroDevNet NCE. She teaches both endocrinology and the Advocacy CanMEDS role in undergraduate and postgraduate medicine, has mentored students clinically and in research, and is the recipient of several teaching awards.
Dr. Shoba Sujana Kumar
Shoba Sujana Kumar, MD, FRCPC is an Assistant Professor in the Department of Medicine at the University of Toronto. She has an MSc in Community Health and Medical Education. She is an active teacher in both undergraduate and postgraduate medical education and Director of the Core Internal Medicine Academic Half-Day at the University of Toronto. In 2012, she was the recipient of the "Young Clinician Award" at WCH. Her clinical interests include diabetes, the endocrinology of pregnancy, PCOS and thyroid cancer. She is director of the Endocrine Preconception and Pregnancy Program at WCH and continues to work in General Internal Medicine in the Acute Ambulatory Care Unit..
Dr. Zoe Lysy
Zoe Lysy MDCM, FRCPC is a Clinical Associate in the Department of Endocrinology and Medicine at Women’s College Hospital. She is a general endocrinologist with interest in the transition of patients’ care post discharge from acute care hospital and the effects of insulin initiation on outcomes of this. She also works in the Osteoporosis Program. Dr. Lysy has completed the VA Quality Scholars fellowship and is currently completing her Masters of Public Health at Harvard University.
We are all here to work with you, and to help you manage the different aspects of your diabetes care. The clinics in the Centre for Integrated Diabetes care include:
There are many resources available for both patients and health care professionals. The following are websites that will provide the answers to many questions you may have about diabetes:
Nutrition for Diabetes
Insulin Pump therapy
Self-Management Support Programs
Support groups: Type 1 Diabetes:
The following resources were compiled to assist medical professionals in providing the necessary resources to their patients who have limited financial coverage and/or are unable to locate the resources needed to help their situation.
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New Diabetes Resource Manual
Patients and medical professionals can access a resource manual to assist patients who have limited financial coverage and/or are unable to locate resources. See Physician Resources tab.
Centre for Integrated Diabetes Care
Women's College Hospital
76 Grenville Street
Toronto, ON M5S 1B2
Hours of Service
Monday - Friday
8 a.m. to 4 p.m.
Note: some programs take place during evening hours.
The hospital is fully accessible. All clinics have wheelchair accessible washrooms.
A physician's referral is required.
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