My Locations

Duke Children's Endocrinology Creekstone
4709 Creekstone Dr
Suite 300
Durham, NC 27703-0016
Office: 919-668-4000 Get Directions
Duke Children's Health Center Endocrinology Clinic
2301 Erwin Rd
Second floor
Durham, NC 27710-4699
Office: 919-668-4000 Get Directions
Duke Children's Hospital & Health Center
2301 Erwin Rd
Durham, NC 27710
Get Directions
Lenox Baker Children's Hospital
3000 Erwin Rd
Durham, NC 27705-4599
Get Directions

About Me

I have 40 years of experience caring for children and adolescents with endocrine disorders and diabetes. I served for 31 years as Chief of Duke’s Division of Pediatric Endocrinology and Diabetes. I have played a leading role in the field of clinical pediatric nutrition and diabetes. My colleagues and I were the first to demonstrate the benefits of pharmacotherapy in children and adolescents with pre-diabetes, and we pioneered studies in the pathogenesis and treatment of severe acute malnutrition in the developing world. My colleagues and I were the first to use insulin pumps in infants and toddlers with type 1 diabetes, and we spearheaded the screening of diabetic children for celiac disease. I won Duke’s Golden Apple Award for outstanding teaching and was awarded (continuously since 2001) membership in America’s Top Doctors, sponsored by US News & World Report/Castle Connolly, which includes only 37 pediatric endocrinologists/diabetologists nationwide. I am also included in Best Doctors in America.

Current Appointments and Affiliations
Languages
English, French

Training

Board Certifications
American Board of Pediatrics, General Pediatrics
American Board of Preventative Medicine, Pediatric Endocrinology
Residency
Pediatrics, Duke University Medical Center, 1976-1979
Education
MD, Duke University School of Medicine, 1976
Fellowship
Pediatric Endocrinology, Duke University, 1980-1984
Molecular Endocrinology, Lineberger Cancer Center/University of North Carolina at Chapel Hill, 1990
Molecular Endocrinology, INSERM/Necker Hospital for Sick Children (France), 1993, 2006

Clinical Focus and Research

My Research Interests

My laboratory research explored roles of maternal and placental hormones in the regulation of fetal growth. More recently, I have played a leading role in clinical pediatric nutrition and diabetes. My colleagues and I were the first to demonstrate the benefits of pharmacotherapy in children and adolescents with pre-diabetes, and we pioneered studies in the pathogenesis and treatment of severe acute malnutrition in the developing world. My colleagues and I were the first to use insulin pumps in infants and toddlers with type 1 diabetes, and we spearheaded the screening of diabetic children for celiac disease.

Publications and Grants

Ratings and Reviews

The Patient Rating score is an average of all responses to care provider related questions on our nationally-recognized Press Ganey Patient Satisfaction Survey. Learn more about our survey process. Responses are measured on a scale of 1 to 5 with 5 being the best score.

Patient Reviews

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Patients are de-identified for confidentiality and patient privacy

Insurance

Duke Health contracts with most major health insurance carriers and transplant networks, including the ones listed below. Before scheduling your appointment, we strongly recommend you contact your insurance company to verify that the Duke Health location or provider you plan to visit is included in your network. Your insurance company will also be able to inform you of any co-payments, co–insurances, or deductibles that will be your responsibility. If you proceed in scheduling an appointment and your health insurance benefits do not participate with Duke, your out of pocket liability may be higher. We will contact you regarding your coverage and patient liability. If you are uninsured, learn more about our financial assistance policy.

  • Aetna
    • Aetna Choice POS, Aetna Choice POS II
    • Aetna Medicare Assure Plan (HMO D-SNP)
    • Aetna/CVS Health
    • Aetna Elect Choice HMO, Aetna Open Access Elect Choice
    • Aetna Health Network Only, Aetna Health Network Option
    • Aetna HMO
    • Aetna Limited Benefit Insurance PPO
    • Aetna Managed Choice POS
    • Aetna Medicare Value Plan (HMO)
    • Aetna Medicare Essential Plan (PPO)
    • Aetna Medicare Eagle Plan (PPO)
    • Aetna Open Access HMO, Open Access Aetna Select, Aetna Open Access Select, Aetna Open Access Managed Choice
    • Aetna Open Choice PPO
    • Aetna PCP Coordinated POS Plan
    • Aetna Quality Point of Service (QPOS)
    • Aetna Select HMO
    • Aetna Traditional Choice
    • Aetna Voluntary Indemnity Group Plan
    • Aetna Whole Health – Duke WakeMed WKCC
  • Ambetter
    • Ambetter of North Carolina
  • Blue Cross Blue Shield of NC
    • Blue Advantage
    • Blue Medicare (HMO, PPO)*
    • Blue Options (123, PPO, HSA)
    • Blue Select
    • NC State Employees Health Plan
    • *Duke HomeCare and Hospice does not participate in the plan.
  • CIGNA
    • Cigna Behavioral Health (*Limited eligibility)
    • Cigna Choice Plus
    • Cigna Connect Individual Family Plan
    • Cigna Open Access
    • Cigna Open Access Plus
    • *Please call Cigna Behavioral Heath to see if the provider is participating in your plan.
  • Duke Group Plans
    • Duke Basic
    • Duke Select
  • Experience Health
    • Experience Health Medicare Advantage (HMO) Plan
  • First Health
  • Gateway Health Alliance
  • Halifax Physician-Hospital Organization
    • Halifax Physician-Hospital Organization plans*
    • *This plan is only accepted at Duke University Hospital, Duke Regional Hospital, Duke Raleigh Hospital, and Duke HomeCare & Hospice.
  • Healthgram
  • Humana
    • Humana Choice (PPO)
    • Humana Choice - Medicare Advantage (PPO)
    • Humana ChoiceCare - Medicare Advantage (PPO)
    • Humana Gold Choice - Medicare Advantage (PFFS)
    • Humana Gold Plus - Medicare Advantage (HMO)
    • Humana Medicare Advantage Group Plan - NC State Retirees
  • MedCost
  • Medicare
    • First Medicare Direct
    • Medicare Part A
    • Medicare Part B
  • MultiPlan / Private Healthcare Systems
  • NC Medicaid
    • WellCare of North Carolina
    • UnitedHealthcare Community Plan
    • NC Medicaid Direct
    • Healthy Blue
    • Carolina Complete Health
    • AmeriHealth Caritas North Carolina
  • OneNet PPO
  • Optima Health
    • FAMIS*
    • Optima Family Care (Medicaid HMO in VA)*
    • Optima Individual & Family (On & Off Exchange Plans)
    • Optima Plus (PPO)
    • Optima Vantage (HMO)
    • *Duke Primary Care, Duke University Hospital, Duke Regional Hospital, and Duke Raleigh Hospital are not participating with this plan.
  • TRICARE
    • TRICARE Prime
    • TRICARE Prime Remote
    • TRICARE Select
  • United Healthcare
    • AARP Medicare Advantage Plan 2 (HMO-POS)
    • AARP Medicare Complete (HMO, PPO)*
    • AARP Medicare Complete Essential (HMO)*
    • All Savers Alternate Funding
    • All Savers Fully Insured
    • United Healthcare (HMO, PPO, POS)
    • United Healthcare Charter/Charter Balance/Charter Plus
    • United Healthcare Choice/Choice Plus
    • United Healthcare Core/Core Essential
    • United Healthcare Navigate/Navigate Plus/Navigate Balanced
    • United Healthcare Option PPO
    • United Healthcare Passport Connect Choice/Choice Plus
    • United Healthcare Passport Connect Options PPO
    • United Healthcare Select/Select Plus
    • United Healthcare Shared Services - Harvard Pilgrim/UHC Options PPO Network
    • United Medical Resources (UMR)
    • *Duke HomeCare and Hospice and mental health providers do not participate with the plan.

External Relationships

Duke requires faculty members to report certain relationships outside of their employment in order to ensure potential conflicts can be addressed. This faculty member has reported no outside activities that relate to their Duke responsibilities.