Dr. Ghislaine Houde – Endocrinologist | Sherbrooke, QC

Dr. Ghislaine Houde, 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 CHUS - Hôpital Fleurimont in Sherbrooke, QC, she is a key member of the local medical community. Her practice adheres to the standards established by the Collège des médecins du Québec (CMQ). Dr. Houde's role is centered on the comprehensive management of hormonal and metabolic health, with a particular focus on conditions related to Diabetes & Metabolism. She is dedicated to offering personalized, evidence-based care tailored to each patient's unique needs, ensuring optimal health outcomes.

She holds a Medical Degree from a recognized institution and has accumulated over 33 years of experience as an Endocrinologist (Diabetes & Metabolism Focus) since 1991. Dr. Houde has completed extensive postgraduate training and holds the necessary certifications to practice in the province of Quebec, enabling her to deliver specialized hormone and metabolism care with a high standard of professionalism and expertise.

Dr. Ghislaine Houde's clinical philosophy emphasizes evidence-based hormonal and metabolic care, patient education on managing chronic conditions, early and accurate diagnosis, and developing individualized treatment plans that promote long-term well-being. She is committed to providing compassionate and comprehensive endocrine health services to her patients in Sherbrooke. Fluent in French, she ensures clear communication and patient understanding throughout the care process.

Dr. Ghislaine Houde 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.
• Gestational Diabetes Mellitus (GDM): Diabetes diagnosed during pregnancy that was not clearly overt diabetes prior to gestation, requiring careful management to ensure healthy outcomes for both mother and baby.
• Type 1 Diabetes Mellitus (T1DM): An autoimmune condition resulting in the destruction of insulin-producing beta cells in the pancreas, requiring lifelong insulin therapy for survival and glucose management.

Thyroid & Parathyroid Gland Disorders

• Hypoparathyroidism: A rare condition in which the parathyroid glands produce too little PTH, resulting in low blood calcium levels (hypocalcemia) and high phosphorus levels.
• 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.

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.
• 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.

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

• 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.
• 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.
• 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.
• 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.

Note: This list provides a general overview. Specific tests and treatments are determined after a thorough evaluation. Discuss with Dr. Houde 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.

Dr. Ghislaine Houde practices at CHUS - Hôpital Fleurimont, located in the Fleurimont West (Hospital Area) neighborhood of Sherbrooke. The hospital is a leading medical facility serving the region, offering specialized endocrinology services within a comprehensive healthcare setting. The hospital's location is accessible via public transit, with the Société de transport de Sherbrooke (STS) providing regular service. The facility is wheelchair accessible, ensuring ease of access for all patients. Parking is available at or near the hospital, facilitating convenient visits for patients and their families.

Are consultations, hormone tests, and treatments with Dr. Houde, 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. Houde, 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. Houde's office, the hospital/clinic, or Régie de l'assurance maladie du Québec (RAMQ) directly.

Is a referral required to see Dr. Houde, 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. Houde. 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 treatment options for osteoporosis might Dr. Houde discuss?

If you are diagnosed with osteoporosis, Dr. Houde 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). She will help choose the most appropriate therapy based on your individual circumstances, potential side effects, and treatment goals.

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

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

What conditions does an Endocrinologist (Diabetes & Metabolism Focus) like Dr. Houde 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. She is an Endocrinologist (Diabetes & Metabolism Focus), specializing in Diabetes & Metabolism. Dr. Houde 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.

CHUS - Hôpital Fleurimont
3001 12e Avenue N
Sherbrooke, QC J1H 5N4

Phone: (819) 564-5250 | Fax: (819) 564-5292

The facility is wheelchair accessible.

Dr. Houde 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. Houde 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=87126