Our interdisciplinary team provides medical care and education in diabetes and endocrinology. This includes care for Type 1 and 2 diabetes, thyroid, adrenal, growth, pubertal, bone metabolism disorders in children and adolescents.

Our clinics and education programs provide ongoing comprehensive inter-disciplinary education and specialized care to children with diabetes and their families. Parents discuss areas of need and collaborate with our specialists to develop an individualized plan of care.

Contact Us

(801) 213-3599

Topic Index

Anatomy of the Endocrine System

Growth in Children


Hypoglycemia (Low Blood Sugar)

Hypoglycemia in the Newborn

Problems in Puberty

Disorders of Sex Development

Disorders Affecting the Thyroid

Disorders Affecting the Pituitary Gland

Disorders Affecting Calcium Metabolism

Disorders Affecting the Adrenal Glands

The endocrine system is a complex collection of hormone-producing glands that control basic body functions such as metabolism, growth, and sexual development. Many of the hormones produced by the endocrine glands interact with each other to maintain balance. The amount of hormones produced by each gland is carefully regulated.

Too much or too little of a certain hormone can have effects throughout the body and cause various endocrine disorders. Although many endocrine disorders that affect adults can also affect children, the disorders may produce different symptoms in children.

Metabolism is the series of chemical processes that occur in all cells, releasing energy from nutrients or using energy to create other substances, such as proteins and fat. The basal metabolic rate represents of energy required to keep the body functioning at rest. Measured in calories, metabolic rates increase with exertion, stress, fear, and illness.

Please follow these links to learn more about the endocrine system and problems that may occur with its functions.

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  • Osteoporosis is a disorder of bone mineralization and a significant cause of morbidity and mortality in older individuals.
  • Children and adolescents are building bone and should achieve peak bone mass in early adulthood.
  • Ensuring adequate mineralization of bone during growth so as to maximize peak bone mass should decrease the risk of osteoporosis and fracture in later life.
  • Pediatric patients do not have the same issues with fractures as do older adults, but some are at risk for poor bone health.


Risk factors for poor bone mineralization in children and adolescents include:

  • Chronic illness
  • Poor intake of calcium or vitamin D
  • Malabsorption (Celiac disease, Crohn’s disease, short gut syndrome)
  • Chronic steroid use
  • Musculoskeletal disorders which limit weight bearing activities
  • History of multiple fractures
  • Family history of osteoporosis


  • Dual energy x-ray absorptiometry (DXA) is one means of measuring bone mineralization and estimating bone strength and fracture risk.
  • The Pediatric Bone Densitometry Service, available through University Healthcare’s Division of Pediatric Endocrinology, offers bone densitometry and body composition testing in children ages 3 through 19 years.
  • Utilizing fan beam technology to acquire an areal image, DXA yields both bone mass and body composition (fat and lean tissue) results. We are uniquely equipped to scan children and provide meaningful age and gender-matched reference data for evaluation of individual bone health status.
  • While the exact relationship between DXA data and fracture risk is less understood in pediatrics, there is good normative data available to identify individuals with poor bone mineralization.


  • Our technicians possess over 12 years of experience acquiring DXA in children of all capacities, and are knowledgeable about non-standard scan types such as the lateral distal femur technique.
  • Our interpreting physician is board certified in pediatrics and the subspecialty pediatric endocrinology, and has over 14 years of experience working with pediatric metabolic bone disorders.
  • All staff are licensed by the State of Utah and have received professional certification in their respective fields of bone densitometry from the International Society of Clinical Densitometry (ISCD).
  • ISCD’s Certified Bone Densitometry Technologist (CBDT) credential signifies that an individual has passed an examination designed to meet established industry standards and best practices in the field of bone densitometry.
  • The Certified Clinical Densitometrist (CCD) credential recognizes medical practitioners who meet specified knowledge requirements in the field of bone densitometry as measured through a standardized testing process.


  • Mary Murray, MD, CCD
  • Hillarie Slater, RPT, CBDT
  • Karen Wheeler, RPT, CBDT
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  • Patient's Name and DOB
  • Diagnosis or indication for DXA scan
  • Referring physician's name

Scheduling 801-585-6227

Referrals 801-581-4760


Free valet parking

is available to patients at the University Hospital. Follow the signs to the valet area as you enter the hospital driveway and you will be greeted by one of our valet staff. Wheelchairs and other assistance are available for patients with special needs. Tipping of valet staff is not accepted. If you prefer to park your own vehicle, free parking is available in our patient parking terrace located on the right side (northwest) of the hospital driveway just as you enter.

From the hospital entrance - Take the visitor or patient elevators to the 5th floor of the main hospital building. We are located in the Center for Clinical and Translational Science (CCTS) which is directly off the elevators. Enter through a set of double doors and check in with the front desk, or at the nursing station inside the CCTS. If the main doors are closed, please use the buzzer on the wall to notify the nursing station to open the doors.

Trina Z. Brown, M.S., CPNP, APRN, CDE

Ms. Brown has worked in multiple areas of Pediatrics since becoming a Registered Nurse. Prior to receiving her Master of Science degree, Trina worked as an RN in general pediatrics and the pediatric intensive care unit. She received her Master of Science with an emphasis of Pediatric Nurse Practitioner from the University of Utah. She has worked in... Read More


Nurse Practitioner, Pediatric Endocrinology & Metabolism


Eccles Primary Children’s Outpatient Services Building (801) 213-3599

Scott Clements, M.D.

Dr. Clements received his undergraduate degree in Biochemistry from Brigham Young University and his medical degree from the University of Colorado. He completed his residency in Pediatrics at the University of Nebraska and completed his fellowship in Pediatric Endocrinology at the University of Colorado and Children’s Hospital Colorado. He is cu... Read More


Pediatric Endocrinology & Metabolism


Eccles Primary Children’s Outpatient Services Building (801) 213-3599
Utah Valley Regional Medical Center (801) 213-3599

Carol M. Foster, M.D.

Dr. Foster received her medical degree from Washington University in St. Louis, MO. She completed her residency in pediatrics at the University of Utah School of Medicine and fellowships in pediatric endocrinology at the National Institutes of Health in Bethesda and the University of Michigan. She was on the faculty of the University of Michigan ... Read More

Mark Hamaker, M.D.

Dr. Hamaker completed his medical training at the University of Texas Health Science Center in San Antonio (UTHSCSA). He completed residency training in Pediatrics at UTHSCSA, as well as fellowship training in pediatric endocrinology. Following fellowship, Dr. Hamaker accepted a position as Assistant Professor in the Department of Pediatrics with... Read More

Mary A. Murray, M.D.

Dr. Murray received her medical degree from Indiana University School of Medicine in Indianapolis. She completed a residency in Pediatrics at the University of Minnesota Hospitals in Minneapolis and a fellowship in Pediatric Endocrinology and a research fellowship at the Children’s Hospital of Cincinnati. She was an Associate Instructor in Bioche... Read More

Vandana Raman, M.D., M.B.B.S.

Dr. Raman received her medical degree from University of Mumbai, in Mumbai, India. She completed her residency in Pediatrics at the Michigan State University Bronson Children’s Hospital and her fellowship in Pediatric Endocrinology at the Baylor College of Medicine Texas Children’s Hospital in Houston, Texas. She is currently an Assistant Profes... Read More


Nurse Practitioner, Pediatric Endocrinology & Metabolism


Utah Diabetes Center (801) 587-3922
Eccles Primary Children's Outpatient Services 81 North Mario Capecchi Dr
Salt Lake City, Utah 84113
(801) 213-3599
PCH Riverton 3773 W. 2600 S., 3rd Floor
Riverton, UT 84065
(801) 213-3599
Provo Diabetes Clinic 1134 N. 500 W., Suite 103
Provo, UT
(801) 213-3599
St. George Clinic 736 S. 900 E., Suite #107
St George, UT 84790
(801) 213-3599
Redrock Pediatrics 1380 E. Medical Center
St George, UT 84790
(801) 213-3599
Utah Diabetes Clinic 4401 Harrison Blvd Suite #3630
Ogden, UT
(801) 213-3599