Dr. Anne Marie Sbrocchi – Endocrinologist | Montréal, QC

Dr. Anne Marie Sbrocchi, a Endocrinologist (Diabetes & Metabolism Focus), provides expert care for adult patients, and may also see older adolescents for certain endocrine conditions. With her practice located at Hôpital de Montréal pour enfants in Montréal, QC, she adheres to the high standards set by the Collège des médecins du Québec (CMQ). Her role centers on the comprehensive management of hormonal and metabolic health, with a particular focus on conditions related to Diabetes & Metabolism. Dr. Sbrocchi's practice is dedicated to delivering personalized, evidence-based care, utilizing advanced diagnostic methods and tailored treatment strategies to optimize patient outcomes.

She holds a Medical Degree from a recognized institution and has over 14 years of experience practicing as an Endocrinologist (Diabetes & Metabolism Focus), having started her specialization in 2010. Throughout her career, she has completed extensive postgraduate training and obtained the necessary certifications to practice endocrinology with a focus on Diabetes & Metabolism in Quebec. Her credentials ensure that her practice aligns with provincial and national standards for quality and safety in hormonal and metabolic healthcare.

Dr. Sbrocchi is committed to evidence-based, patient-centered care, emphasizing early and accurate diagnosis, patient education on managing chronic conditions, and developing personalized treatment plans aimed at long-term well-being. She is dedicated to serving the Montréal community with compassion and professionalism. Fluent in French, she strives to make her patients feel informed and supported throughout their healthcare journey.

Dr. Anne Marie Sbrocchi diagnoses and treats a wide range of hormonal and metabolic disorders, including:

Diabetes & Related Metabolic Disorders

• Prediabetes & Insulin Resistance: A state where blood glucose levels are higher than normal but not yet high enough for a type 2 diabetes diagnosis. Insulin resistance is a key feature, where cells don't respond well to insulin.
• Type 2 Diabetes Mellitus (T2DM): A progressive condition characterized by insulin resistance (where the body's cells don't respond effectively to insulin) and/or relative insulin deficiency, often linked to genetics, lifestyle factors, and obesity.

Thyroid & Parathyroid Gland Disorders

• Hyperthyroidism & Thyrotoxicosis (Overactive Thyroid - e.g., Graves' Disease, Toxic Adenoma, Toxic Multinodular Goiter): Condition where the thyroid gland produces excessive amounts of thyroid hormone, causing symptoms such as weight loss, rapid or irregular heartbeat, anxiety, tremors, and heat intolerance.
• Thyroiditis (e.g., Subacute/De Quervain's, Postpartum, Silent/Painless): Inflammation of the thyroid gland, which can cause temporary hyperthyroidism followed by hypothyroidism, or persistent thyroid dysfunction, depending on the type.

Bone Health & Mineral Metabolism Disorders

• Osteoporosis (Postmenopausal, Senile, Glucocorticoid-Induced): A progressive bone disease characterized by decreased bone mass and density, leading to an increased risk of fractures, particularly of the hip, spine, and wrist.
• Osteopenia (Low Bone Mass): A condition where bone mineral density is lower than normal peak density but not yet low enough to be classified as osteoporosis. It indicates an increased risk for developing osteoporosis.

This list is not exhaustive. For personalized advice regarding your specific endocrine condition, please consult with Dr. Anne Marie Sbrocchi.

• Interpretation of Complex Hormonal Assays, Dynamic Endocrine Function Tests & Genetic Markers: Expert analysis and clinical correlation of specialized blood, urine, and saliva tests measuring various hormone levels. Includes interpretation of dynamic stimulation and suppression tests (e.g., ACTH stimulation, dexamethasone suppression, oral glucose tolerance test for acromegaly) to precisely evaluate endocrine gland function and identify genetic predispositions.
• Inpatient & Outpatient Management of Endocrine Emergencies & Crises: Acute diagnosis and management of potentially life-threatening hormonal imbalances such as diabetic ketoacidosis (DKA), hyperglycemic hyperosmolar state (HHS), thyroid storm, myxedema coma, adrenal crisis, severe hypoglycemia, and acute hyper/hypocalcemia, typically initiated in an emergency or hospital setting with ongoing outpatient follow-up.
• Genetic Counseling Coordination & Testing for Hereditary Endocrine Neoplasia Syndromes & Familial Disorders: Risk assessment and coordination of genetic testing and counseling for individuals and families with suspected hereditary endocrine tumor syndromes (e.g., Multiple Endocrine Neoplasia - MEN1, MEN2; Von Hippel-Lindau), familial thyroid cancer, or other inherited endocrine conditions.
• Expert Second Opinion Consultations for Complex or Rare Endocrine Disorders: Providing specialized second opinions on challenging endocrine diagnoses, interpretation of ambiguous hormone test results, or evaluation of complex or multi-faceted treatment plans.
• Transitional Care for Young Adults with Chronic Endocrine Conditions: Facilitating the smooth transition of adolescents and young adults with lifelong endocrine disorders (e.g., Type 1 diabetes, congenital adrenal hyperplasia, hypopituitarism) from pediatric to adult endocrine care services.
• Comprehensive Endocrine System Consultation & Hormonal Health Evaluation: In-depth clinical assessment of potential hormonal imbalances and disorders affecting the endocrine glands (e.g., thyroid, pituitary, adrenal, pancreas, parathyroid, gonads). Includes detailed medical history, family history review, targeted physical examination, analysis of symptoms, and formulation of a personalized diagnostic and management plan.

Note: This list provides a general overview. Specific tests and treatments are determined after a thorough evaluation. Discuss with Dr. Sbrocchi for care relevant to your specific condition.

All medical services are provided in accordance with the standards of practice set by the Collège des médecins du Québec (CMQ) and relevant endocrinological care guidelines. Contact the clinic or your referring physician regarding new patient intake and referral processes.

Hôpital de Montréal pour enfants is situated in Montréal's Notre-Dame-de-Grâce (NDG) Central neighborhood. The facility serves as a key pediatric and adult endocrine specialty unit within the hospital, offering accessible, high-quality medical services. Patients can enjoy convenient access via public transit, including the Société de transport de Montréal (STM) (Métro, Bus), with the hospital located close to Mile End District and Mount Royal Park Access. The hospital is fully wheelchair accessible. Metered street parking and nearby parking lots provide additional convenience for visitors.

Are consultations, hormone tests, and treatments with Dr. Sbrocchi, an Endocrinologist (Diabetes & Metabolism Focus), covered by Régie de l'assurance maladie du Québec (RAMQ) in QC?

Medically necessary consultations with a licensed Endocrinologist (Diabetes & Metabolism Focus) like Dr. Sbrocchi, most standard diagnostic hormone blood tests, dynamic endocrine function tests when indicated, and treatments for provincially insured endocrine conditions (e.g., diabetes, thyroid disorders, adrenal insufficiency, osteoporosis management as per guidelines) are generally covered by Régie de l'assurance maladie du Québec (RAMQ) in QC when a referral from a family doctor or another specialist is in place. Some newer or specialized medications (e.g., certain advanced diabetes drugs, some growth hormone therapies, specific osteoporosis agents), medical devices (like some insulin pumps or continuous glucose monitors and their supplies), or treatments considered primarily for lifestyle or cosmetic reasons may have different coverage criteria or require special authorization. It's crucial to discuss coverage specifics for any proposed investigation or treatment with Dr. Sbrocchi's office, the hospital/clinic, or Régie de l'assurance maladie du Québec (RAMQ) directly.

Is a referral required to see Dr. Sbrocchi, an Endocrinologist (Diabetes & Metabolism Focus)?

Yes, for services covered by the provincial health plan, a referral from your family physician or another specialist (e.g., an internist, pediatrician, or gynecologist) is almost always required to schedule an appointment with an Endocrinologist (Diabetes & Metabolism Focus) such as Dr. Sbrocchi. Endocrine system disorders often involve complex interactions and can have wide-ranging effects, so an initial assessment by your primary care provider helps determine if specialist care is needed and ensures that relevant preliminary tests and medical history are available to the endocrinologist. This facilitates a more focused and efficient consultation.

Dr. Sbrocchi mentioned 'dynamic endocrine testing'. What does that mean?

Dynamic endocrine testing involves tests that assess how your endocrine glands respond when stimulated or suppressed by specific substances. Unlike simple blood tests that measure baseline hormone levels, these tests evaluate the gland's functional reserve or its responsiveness to normal control mechanisms. For example, an ACTH stimulation test checks how well your adrenal glands produce cortisol when stimulated. A dexamethasone suppression test helps diagnose Cushing's syndrome by seeing if cortisol production can be suppressed. An oral glucose tolerance test can be used to diagnose diabetes or acromegaly. These tests usually involve taking a baseline blood sample, then administering a medication or substance, followed by one or more timed blood samples to measure hormone changes. Dr. Sbrocchi uses these tests for more precise diagnosis of certain complex endocrine conditions.

How does Dr. Sbrocchi typically approach managing diabetes (Type 1 or Type 2)?

Dr. Sbrocchi's approach to diabetes management is comprehensive and individualized. For Type 1 diabetes, the focus is on intensive insulin therapy (using multiple daily injections or an insulin pump), continuous glucose monitoring (CGM), carbohydrate counting, and education on managing blood sugar fluctuations and preventing hypoglycemia. For Type 2 diabetes, management often starts with lifestyle modifications (diet, exercise, weight loss), followed by oral medications if needed. Newer injectable medications (like GLP-1 receptor agonists or SGLT2 inhibitors) or insulin may be added as the disease progresses or if blood sugar targets aren't met. In both types, a key goal is to achieve optimal glycemic control (measured by HbA1c and glucose monitoring) while minimizing side effects and preventing long-term complications affecting the eyes, kidneys, nerves, and cardiovascular system. This often involves a multidisciplinary team approach.

What is Hormone Replacement Therapy (HRT) and when might Dr. Sbrocchi recommend it?

Hormone Replacement Therapy (HRT) involves taking medication to replace hormones that the body is no longer producing in sufficient amounts. Dr. Sbrocchi might recommend HRT for various conditions. For example, thyroid hormone replacement (levothyroxine) is used for hypothyroidism. For women experiencing troublesome menopausal symptoms, menopausal hormone therapy (MHT, using estrogen with or without progestogen) can be considered. For men with confirmed hypogonadism (low testosterone) and symptoms, testosterone replacement therapy may be an option. HRT is also crucial for individuals with adrenal insufficiency (cortisol/aldosterone replacement) or hypopituitarism (replacing deficient pituitary hormones). The decision to use HRT is highly individualized, based on the specific condition, symptoms, benefits, and potential risks, which Dr. Sbrocchi will discuss thoroughly.

Hôpital de Montréal pour enfants
A04.6320-1001 Boul Décarie
Montréal, QC H4A 3J1

Phone: (514) 412-4400 | Fax: (514) 412-4264

The facility is wheelchair accessible.

Dr. Sbrocchi is a licensed Endocrinologist (Diabetes & Metabolism Focus) regulated by the Collège des médecins du Québec (CMQ) under the Medical Act in QC. A referral from a family physician or appropriate specialist is typically required for consultations with Dr. Sbrocchi for services covered by the provincial health plan.

Verify registration with the Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=10393