Diabetes, Kidney and Transplant

With several clinics, programs and services dedicated to helping patients living with chronic kidney diseases, diabetes and its related complications, Unity Health’s Kidney and Metabolism program takes a multidisciplinary approach to patient care, and offers a diverse range of services. The program encompasses several areas including Ear, Nose, Throat and Voice (Department of Otolaryngology, Head and Neck Surgery).

Diabetes, Kidney and Transplant at St. Joseph's Health Centre

St. Joseph’s Kidney and Metabolism program offers a comprehensive range of services for patients at risk of kidney failure or who are in the later stages of kidney disease. Our interprofessional team works with patients and their families with the goal of managing their health to delay the need for kidney replacement treatment.

1020 Islington Avenue, Unit 11
416-530-6018
Fax: 416-530-6828
7 a.m. to 10 p.m.

Osteoporosis is a chronic condition characterized by a low bone mass and deterioration of the bone tissue, causing bones to become thin and weak. The COPE Clinic team at St. Joseph’s Health Centre assesses and tests patients who have been diagnosed with osteoporosis to optimize treatment and self-management to maintain bone health and preventing fractures.

Ground Floor Gilgan Family Wing
Wednesday and Thursday, 8:30 to 11:30 a.m.

Our diabetes education team in the Ambulatory Care Centre provides adults, their families and caregivers with diabetes education aimed at effective self-management. The diabetes education program services the population of West Toronto which includes various ethno-culturally specific groups, as well as individuals living with both diabetes and mental illness. Through relevant, culturally-sensitive diabetes services and education programming we are working to help our population achieve effective self-management.

Our programs are available to individuals over the age of 18 who have type 1 diabetes, type 2 diabetes, gestational diabetes or prediabetes. Our programs are designed to teach you about the benefits of a healthy lifestyle, including healthy eating, keeping active and how medications can have a positive impact on prevention of long term complications.

We require a referral from your doctor faxed to 416-530-6050.

The clinic accepts referrals for patients seeking treatment for hormonal diseases including thyroid disease, lipid disorders, and disorders of other organs such as the pituitary, parathyroid and adrenal glands. Our endocrinologists are skilled in the detection and management of conditions that impact patient’s lives. Our specialists will work with you to find the treatment option that is ideal for you.

Note: Patients requiring diabetes management should be referred to the Diabetes Clinic or Diabetes Education Program.

Ground Floor Gilgan Family Wing
Wednesday, 8 to 11 a.m.

The Department of Ophthalmology at St. Joe’s provides services for approximately 4,000 patient visits annually through the fully staffed on-site Eye Clinic. The clinic is equipped with laser therapeutic technology as well as a minor operatory for oculoplastic surgical cases. The department performs approximately 1,500 cataract surgeries per year as well as strabismus and glaucoma cases. The members include comprehensive general ophthalmologists and specialists in pediatrics, glaucoma, retina and uveitis.

Ground Floor Morrow Wing, 161
416-530-6395
Fax: 416-530-6533
7 a.m. to 10 p.m.

The Home Dialysis Program focuses on implementing innovative, creative and individualized strategies in the process of counseling and training patients and their families to support dialysis modalities in the comfort of patients’ own homes.

The program provides:

  • Interprofessional team collaboration in the management, treatment, education, training and support of patients wishing to perform dialysis in their home: both home peritoneal dialysis and home hemodialysis.
  • Referral and preparation for kidney transplant with our partners at University Health Network and St Michael’s Hospital.

416-530-6787

The Interprofessional Resource Team (IRT) is an innovative and dynamic team that provides relief staffing in patient care settings across the health centre. The team consists of registered nurses, registered practical nurses and health care attendants.

4 Gilgan Family Wing, 02 (Staffing Office)
416-530-6458
NRTStaff@StJoesToronto.ca

Monday to Friday, 5:30 a.m. to 9 p.m.
Saturday, Sunday and Holidays, 5:30 a.m. to 9 a.m. and 5 p.m. to 9 p.m.

The clinic is staffed by a team of urologists who assess and treat diverse diseases of the urinary tract including the kidneys, bladder, genitals and prostate. These include health problems such as kidney stones, urinary incontinence, bladder dysfunction, prostate disease/cancer or bladder cancer.

Ground Floor Gilgan Family Wing
Monday, Tuesday, and Wednesday 8 to 11:30 a.m.

Diabetes, Kidney and Transplant at St. Michael's Hospital

The St. Michael’s Hospital Kidney and Metabolism program takes a team-based approach to managing proactive care. Our team consists of endocrinologists, nephrologists, urologists, nurses, nurse educators, registered dietitians, social workers, chiropodists, pharmacists and other allied health-care providers.

The Apheresis Unit performs Therapeutic Plasma Exchange, Red Cell Exchange, mononuclear cell collection for research and ABO Immunoadsorption for ABO incompatible kidney transplantation. We also participate in clinical trials.

8th Floor Cardinal Carter Wing North, Room 8-119
416-864-5614
Fax: 416-864-5964

Monday to Friday, 7:30 a.m. to 3.30 p.m.
24/7 on-call coverage for urgent cases

Referrals

  • Please fax referrals to Dr. Katerina Pavenski at 416-864-3060

In addition to seeing adults living with Type 1 or Type 2 diabetes, the St. Michael’s Diabetes Clinic offers a specialized clinic for young adults (ages 18 to 24) with Type 1 or Type 2 diabetes. The team includes endocrinologists (diabetes doctors), diabetes nurse educators, registered dietitians and a social worker, chiropodist and pharmacist who will work collaboratively with you to create an individualized care plan.

Services include:

  • Regular appointments with an endocrinologist for an initial assessment and follow up
  • One-on-one appointments with team members
  • Young Adult Diabetes Clinic
  • Insulin Pump Program
  • Continuous glucose monitoring
  • Insulin Dose Adjustment Clinic
  • Diabetes in Pregnancy Clinic
  • Group education classes (currently on hold)
  • Mentorship Program
  • Osteoporosis Outreach Program (OPOutreach)

You can find more information about diabetes in our Online Health Library.

Location and Contact Information

Note: Some patient appointments are happening by phone due to the COVID-19 pandemic. If you are unsure if you have a phone or in-person appointment, please contact us.

Location: 61 Queen Street East, 7th Floor (across the street from the main hospital)

Telephone: To schedule, rebook or cancel appointments, call 416-867-3679. For all other inquiries call 416-867-7424.

Fax: 416-867-3654

Referrals

The Endocrine Clinic specializes in the diagnosis and treatment of endocrine disorders, which may involve one of several hormone-producing glands like the thyroid, pituitary, adrenal, parathyroid, ovaries or testes. At the clinic, patients are seen by residents (doctors in training) and an endocrinologist.

Medication information for patients:

8 Cardinal Carter North
416-864-5228
416-864-5338 (North)
Monday to Saturday, 7:30 a.m. to 11:30 p.m.

Home dialysis training is scheduled Monday to Friday for six hours each day. Patients receive dialysis during the training sessions. After successful training, patients attend the Home Dialysis Clinic every eight weeks.

8 Cardinal Carter North
416-864-5794
Tuesday, 12:30 to 4 p.m.

The Interprofessional Resource Team (IRT) at St. Michael’s is an innovative team that has presence in patient care settings across the hospital. The team consists of registered nurses and clinical assistants.

2 Bond St. (booking office)
416-864-2364
NRTOFFICE@smh.ca
Monday to Sunday, 5:30 a.m. to 9:30 p.m.

The Lipids Clinic specializes in the diagnosis and treatment of abnormal lipid (cholesterol) levels. The team works with people who are at high risk for future cardiovascular disease.

At the clinic, you will be seen by a registered dietitian and a physician for assessment, medical treatment and advice on healthy living. The clinic is also involved in many research studies related to diet and medications that may reduce your risk of heart disease.

Information for patients:

Transplant is a treatment option for people with severe kidney disease. Founded in 1969, the St. Michael’s Kidney Transplant Program is one of the largest adult kidney transplant programs in Canada. At any given time, there are hundreds of patients being actively followed in the post-transplant ambulatory clinic.

The program receives referrals from more than 30 dialysis centres and kidney clinics in the Greater Toronto Area. For more information, visit the Kidney Transplant Education Resources page on the Unity Health information portal.

Clinics and services include:

  • Living kidney donors
  • Transplant waitlist
  • Pre-transplant weight-loss program
  • Post-transplant care

9th Floor 61 Queen St. E.
416-867-3665
Monday to Friday, 8 a.m. to 4 p.m.
For urgent issues on weekends and after hours, call 416-864-5431 and request to speak with the nephrologist on-call.
Individuals interested in becoming a living kidney donor can contact our office at: 416-867-3676 or by email: livedonorteam@smh.ca.

Referrals

8 Cardinal Carter North
416-864-5097
Sunday to Friday, 7 p.m. to 7 a.m.

The Department of Ophthalmology at St. Michael’s is a world-class facility recognized for excellence in patient eye care, research and teaching in the field of ophthalmology.

Our department provides a full range of ophthalmology subspecialty services including:

  • Comprehensive Ophthalmology / Eye Clinic
  • Cornea
  • Glaucoma Unit (8th Floor Donnelly Wing)
  • Medical and Surgical Retina
  • Neuro-ophthalmology
  • Oculoplastics
  • Ocular Pathology
  • Retina Unit (8th Floor Donnelly Wing)
  • Strabismus
  • Uveitis
  • Our department provides on-site diagnostic testing including:
  • Colour Vision Assessment (Farnsworth 100-Hue)
  • Corneal Topography (COT)
  • Heidelberg Retina Tomography (HRT)
  • Intravenous Fluorescein Angiography (IVFA)
  • IOL Master (Zeiss)
  • Optical Coherence Tomography (OCT)
  • Retinal Photography
  • Ultrasonography (both diagnostic B-scans and biometric A-scans)
  • Visual Fields (both Goldmann and Humphrey)

7th Floor Donnelly Wing
8th Floor Donnelly Wing (Retina and Glaucoma Clinic)
416-867-7422
Fax: 416-867-3688
Monday to Friday, 8:30 a.m. to 4:30 p.m.

The Osteoporosis and Metabolic Bone Disease Clinic uses state-of-the-art equipment and tests to investigate and manage osteoporosis and other metabolic bone diseases. Our multidisciplinary team is made up of endocrinologists, rheumatologists, internists, gynecologists, nurses and dietitians. The clinic was the first of its kind in Toronto and is also involved in cutting edge clinical research.

Medication information for patients:

9th Floor 61 Queen St. E.
416-360-4000 ext. 3710

Renal Services includes a wide range of different kinds of dialysis as well as vascular and peritoneal dialysis (PD) access, renal clinical technology, kidney stone prevention and our renal transplant program. St. Michael’s offers a comprehensive range of services for patients at risk of kidney failure or who are in the later stages of kidney disease, with the goal of managing their health and educating them on kidney replacement options if required.

The kinds of dialysis services we offer include:

  • Pre-dialysis/Multi Care Kidney Clinic: This clinic is for patients with end-stage renal disease who have not yet started dialysis or who are preparing for a kidney transplant.
  • Hemodialysis: Safe and successful hemodialysis is a highly technical process involving sophisticated equipment and resources used to clean the patient’s blood. This is the most common type of dialysis.
  • Peritoneal dialysis: Patients can choose between continuous ambulatory peritoneal dialysis (CAPD) and continuous cycling peritoneal dialysis (CCPD). In CAPD, dialysis fluid is administered to the abdomen four to five times daily and is drained after several hours. There is no machinery required for this type of dialysis. In CCPD, the patient is attached to a machine that performs all the filling and draining of the fluid automatically. The machine administers the fluid every night for eight to 10 hours, and some patients require an additional fill during the day.
  • Nocturnal Hemodialysis: This program is unique to St. Michael’s Hospital and provides treatment for patients who are either unable to perform home dialysis therapy or who are working towards home therapy. Patients are treated in the main hemodialysis unit overnight while they sleep, three times per week.
  • Continuous renal replacement therapy (CRRT): For acute specialized treatments, the clinical technology department operates five continuous renal replacement therapy (CRRT) machines.
  • Home dialysis: Our home dialysis programs provide education and training on either hemodialysis or peritoneal dialysis so patients are able to perform dialysis on themselves from the comfort of their own home.

45 Overlea Blvd, Unit 2, East York Town Centre
416-867-3700
Monday, Wednesday, Friday, 7 a.m. to 5 p.m.
Tuesday, Thursday, Saturday, 7 a.m. to 1 p.m.

The Division of Urology at St. Michael’s provides general urological care to the community, but also provides subspecialized care in the following areas:

  • Kidney transplantation
  • Robotic-assisted surgery
  • Laparoscopic surgery
  • Shock wave lithotripsy (SWL) for kidney stones
  • Endourology (minimally invasive procedures for kidney stones)
  • Cancer surgery for all urologic cancer including kidney, bladder and prostate

9th Floor 61 Queen St. E.
416-867-3710
Fax: 416-867-3709
Monday to Friday, 8 a.m. to 4 p.m.

8th Floor Cardinal Carter Wing – Hemodialysis South
PD Access Coordinator: 416-864-6060 ext. 5794
Vascular Access Coordinator: 416-864-6060 ext. 5228
bodyaccess@smh.ca

Referrals

Last updated July 14, 2021