Pediatric Care


The Madison Clinic: A Comforting Home Away from Home for Diabetes Patients Aged 0-26

With the incidence of both type 1 and type 2 diabetes in children on the rise, it is increasingly important to have skilled teams of diabetes health care providers who specialize in treating young people.

With a generous gift from an anonymous donor, the Madison Clinic for Pediatric Diabetes was established in 2011. The new state-of-the-art facility is staffed by a multidisciplinary team of dedicated providers who focus on management of diabetes in children and young adults.

Located steps away from the UCSF Benioff Children’s Hospital, the Madison Clinic at Mission Bay offers comprehensive care for children and young adults with diabetes, with an emphasis on patient education, empowerment, and the use of advanced technologies. In addition, the Madison Clinic team is deeply committed to advancing research in the management of diabetes in children, conducting multiple studies ranging from understanding how patients deal with their data, and the emotional and behavioral aspects of living with diabetes across all ages, to applying cutting-edge therapies for preventing and curing early onset type 1 diabetes. (Click here for a list of current studies and more details.)

New Programs to Enhance Care

The Madison Clinic offers several innovative clinical programs designed to improve the patient experience and outcomes.

  • A revised model of case management, in which each patient and family are paired with a specific nurse and physician team for their care in order to optimize their experience and respond to their concerns in a more timely and effective manner. 
  • groundbreaking transition program. We recognize that when children are diagnosed with type 1 diabetes, parents typically shoulder the burden of managing the rigorous daily routine of supervising what the child eats, checking blood sugar levels, administering insulin, adjusting for exercise, illness, and travel, and keeping regular medical appointments. As children advance into adolescence and young adulthood, it is critical that they maintain the same level of attention to details and begin to do so on their own. Our transition program is designed to help teens and young adults gradually gain the skills they need to manage diabetes independently as they reach adulthood. At the heart of this transition process is an extensive curriculum that we start to discuss with our patients and their families as early as age 12 or 13 years and we continue to evaluate their readiness for independent living with diabetes until they graduate from our clinic. 
  • Our team in the Madison Clinic includes a full-time transition coordinator, who acts as a liaison between patients and providers throughout the transition process. To provide greater continuity of care, the clinic also recruited two endocrinologists who are dually trained in pediatric and adult medicine. They can care for patients from childhood through young adulthood with a seamless transition.
  • Satellite clinics are being planned in different parts of California to bring services closer to patient populations in the Monterey peninsula, Central Valley and elsewhere. Currently, we conduct a full day diabetes clinic in Santa Rosa twice per month, and will soon open clinics in San Mateo and Walnut Creek. Our plans are to expand our reach well beyond California, nationally and internationally, utilizing the newest communications methods for telemedicine.