Dr. David Bruce Miller – Endocrinologist | Victoria, BC

Dr. David Bruce Miller, a Endocrinologist (Diabetes & Metabolism Focus), provides expert care for adult patients, and may also see older adolescents for certain endocrine conditions. With conditions related to Diabetes & Metabolism, he practices at an endocrinology clinic within a hospital department in Victoria, BC. Located in the Quadra Village, Topaz Park Area neighborhood, the facility is conveniently accessible and well-connected to public transit. The practice is situated near the Bay Centre Shopping Mall and BC Transit Hub, making it easy for patients to reach via the Victoria Regional Transit System (BC Transit). The facility is wheelchair accessible, and both metered street parking and nearby lots are available to accommodate visitors. Dr. Miller's practice is committed to providing comprehensive endocrine and metabolic care in a welcoming and accessible environment.

He graduated with a Medical Doctorate from the University of Western Ontario in Canada and holds specialty certification as an Endocrinologist (Diabetes & Metabolism Focus). Dr. Miller has earned certification from the Royal College of Physicians and Surgeons of Canada, ensuring adherence to rigorous standards of medical excellence and professionalism. His training and credentials reflect a dedicated pursuit of advanced knowledge and skills in hormone and metabolism care, enabling him to deliver high-quality, evidence-based treatment for a wide range of endocrine disorders.

Dr. Miller’s clinical philosophy centers on providing patient-centered, evidence-based endocrine and metabolic care. He emphasizes early and accurate diagnosis, patient education, and personalized treatment plans designed to optimize long-term health and well-being. His approach involves thorough assessments, clear communication, and a compassionate understanding of each patient's unique circumstances. Fluent in English, he is committed to supporting his patients in Victoria through accessible, respectful, and comprehensive endocrine services.

Dr. David Miller diagnoses and treats a wide range of hormonal and metabolic disorders, including:

Diabetes & Related Metabolic Disorders

• 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.
• Hypoglycemia (Low Blood Sugar - various causes): Abnormally low blood glucose levels, which can occur as a side effect of diabetes treatment (insulin or certain oral medications), or due to other underlying conditions like insulinoma or adrenal insufficiency.
• Diabetes Complications (Neuropathy, Nephropathy, Retinopathy - endocrine management aspects): Management focused on glycemic, blood pressure, and lipid control to prevent or slow the progression of nerve damage, kidney disease, and eye damage associated with diabetes.

Bone Health & Mineral Metabolism Disorders

• Paget's Disease of Bone: A chronic skeletal disorder that disrupts the normal bone remodeling process, resulting in bones that are enlarged, misshapen, and structurally unsound, leading to pain, deformities, and fractures.
• 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.

Pituitary, Adrenal & Gonadal Axis Disorders

• Pituitary Adenomas & Tumors (e.g., Prolactinoma, Non-Functioning Adenoma, GH-secreting/Acromegaly, ACTH-secreting/Cushing's Disease): Mostly benign growths in the pituitary gland that can cause symptoms due to hormone overproduction (e.g., prolactin, growth hormone, ACTH), hormone deficiency (hypopituitarism), or pressure effects on surrounding structures.
• Female Hypogonadism & Premature Ovarian Insufficiency (POI): Conditions involving low estrogen levels in women, leading to symptoms like amenorrhea, infertility, and menopausal symptoms, occurring before the typical age of menopause in POI.

This list is not exhaustive. For personalized advice regarding your specific endocrine condition, please consult with Dr. David Miller.

• 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.
• 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.
• 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.
• 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.
• 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.

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

All medical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of British Columbia (CPSBC) and relevant endocrinological care guidelines. Contact the clinic or your referring physician regarding new patient intake and referral processes.

Dr. Miller practices at an endocrinology clinic located in the Quadra Village neighborhood of Victoria, BC, within a hospital department dedicated to hormone and metabolism care. The facility is conveniently situated near the Bay Centre Shopping Mall and BC Transit Hub, providing easy access via the Victoria Regional Transit System (BC Transit). Patients can reach the clinic through public transit or by car, with metered street parking and nearby parking lots available. The clinic is fully wheelchair accessible, ensuring comfort and convenience for all patients. Its central location in Victoria makes it an ideal destination for those seeking expert endocrine services in a welcoming environment.

Are consultations, hormone tests, and treatments with Dr. Miller, an Endocrinologist (Diabetes & Metabolism Focus), covered by Medical Services Plan (MSP) in BC?

Medically necessary consultations with a licensed Endocrinologist (Diabetes & Metabolism Focus) like Dr. Miller, 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 Medical Services Plan (MSP) in BC 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. Miller's office, the hospital/clinic, or Medical Services Plan (MSP) directly.

Is a referral required to see Dr. Miller, 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. Miller. 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.

What conditions does an Endocrinologist (Diabetes & Metabolism Focus) like Dr. Miller typically treat?

An Endocrinologist (Diabetes & Metabolism Focus) is a medical doctor who specializes in diagnosing and treating diseases related to the endocrine system, which is the network of glands that produce and release hormones. These hormones control many important body functions, including metabolism (how your body gets energy from foods), growth and development, sexual function and reproduction, sleep, and mood. He is an Endocrinologist (Diabetes & Metabolism Focus), specializing in Diabetes & Metabolism. Dr. Miller manages conditions such as diabetes, thyroid diseases (hyperthyroidism, hypothyroidism, nodules), osteoporosis, adrenal gland disorders (like Cushing's or Addison's disease), pituitary gland disorders, parathyroid and calcium imbalances, polycystic ovary syndrome (PCOS), and some forms of hypertension or lipid disorders related to hormonal imbalances.

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

Hormone Replacement Therapy (HRT) involves taking medication to replace hormones that the body is no longer producing in sufficient amounts. Dr. Miller 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. Miller will discuss thoroughly.

What types of diagnostic tests are commonly used by an Endocrinologist (Diabetes & Metabolism Focus) like Dr. Miller?

An Endocrinologist (Diabetes & Metabolism Focus) like Dr. Miller utilizes a variety of tests to diagnose endocrine disorders. Blood tests are fundamental for measuring levels of specific hormones (e.g., TSH, free T4, cortisol, ACTH, testosterone, estrogen, LH, FSH, insulin, HbA1c, prolactin, PTH, calcium, vitamin D). He often orders dynamic endocrine function tests, where hormone levels are measured after administering a stimulating or suppressing agent (e.g., ACTH stimulation test for adrenal function, oral glucose tolerance test for diabetes/acromegaly, dexamethasone suppression test for Cushing's). Imaging studies like thyroid ultrasounds, CT scans, or MRIs of the pituitary or adrenal glands are common. Bone mineral density (DXA) scans assess for osteoporosis. For thyroid nodules, a fine-needle aspiration (FNA) biopsy might be performed or arranged.

What treatment options for osteoporosis might Dr. Miller discuss?

If you are diagnosed with osteoporosis, Dr. Miller will discuss a management plan aimed at reducing your risk of fractures. This starts with lifestyle modifications, including ensuring adequate intake of calcium and vitamin D (through diet and/or supplements), engaging in regular weight-bearing and muscle-strengthening exercises, smoking cessation, and limiting alcohol intake. Fall prevention strategies are also important. If medication is indicated based on your bone density (DXA scan) and fracture risk assessment (e.g., using FRAX or CAROC tools), options include antiresorptive medications that slow bone loss (like bisphosphonates or denosumab) or anabolic agents that stimulate new bone formation (like teriparatide or romosozumab). He will help choose the most appropriate therapy based on your individual circumstances, potential side effects, and treatment goals.

402-3939 Quadra St
Victoria, BC V8X 1J5

Phone: (250) 727-6621 | Fax: (250) 727-0478

The facility is wheelchair accessible.

Dr. Miller is a licensed Endocrinologist (Diabetes & Metabolism Focus) regulated by the College of Physicians and Surgeons of British Columbia (CPSBC) under the Health Professions Act in BC. A referral from a family physician or appropriate specialist is typically required for consultations with Dr. Miller for services covered by the provincial health plan.

Verify registration with the College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/305748/Miller%2CDavid