Dr. Marie Eva Pigeyre – Endocrinologist | Hamilton, ON

Dr. Marie Eva Pigeyre, 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 within an endocrinology clinic or hospital department in Hamilton North End, Beasley, she is an integral part of the local medical community. Dr. Pigeyre adheres to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring safe and ethical care for her patients. Her primary focus is on the comprehensive management of type 1 and type 2 diabetes, metabolic syndrome, and lipid disorders, offering personalized treatment plans tailored to each individual's needs.

She graduated with a Medical Degree from the University of Lille II in France and has accumulated over five years of experience as an Endocrinologist (Diabetes & Metabolism Focus) since 2019. Recognized as a CPSO Recognized Specialist, Dr. Pigeyre maintains ongoing professional development to stay current with the latest advancements in hormone and metabolism care. Her certifications and training underpin her ability to deliver evidence-based, compassionate endocrine services.

Dr. Pigeyre is committed to delivering patient-centered care grounded in the latest clinical evidence. She emphasizes early and accurate diagnosis, patient education on managing chronic conditions, and the development of individualized treatment strategies aimed at long-term health and well-being. Fluent in both English and French, she strives to make her patients feel understood and supported throughout their healthcare journey.

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

Diabetes & Related Metabolic Disorders

• 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.
• Dyslipidemia (High Cholesterol, High Triglycerides, Low HDL): Abnormal levels of lipids (fats) in the blood, including elevated LDL ('bad') cholesterol, high triglycerides, or low HDL ('good') cholesterol, significantly increasing cardiovascular disease risk.

Pituitary, Adrenal & Gonadal Axis Disorders

• Hypopituitarism (Panhypopituitarism, Isolated Hormone Deficiencies): Condition where the pituitary gland fails to produce adequate amounts of one or more crucial hormones (e.g., GH, ACTH, TSH, LH/FSH, ADH), requiring hormone replacement therapy.
• Cushing's Syndrome & Cushing's Disease (Hypercortisolism): A hormonal disorder caused by prolonged exposure of the body's tissues to high levels of cortisol, either from medication (exogenous) or due to overproduction by the body (endogenous - e.g., pituitary or adrenal tumor).

Thyroid & Parathyroid Gland Disorders

• Thyroid Cancer (Differentiated - Papillary, Follicular; Medullary - follow-up care): Malignant tumors of the thyroid gland. Endocrinologists are involved in post-operative management, hormone suppression, and long-term surveillance.
• Hypercalcemia & Hypocalcemia (Disorders of Calcium Metabolism): Evaluation and management of abnormally high or low levels of calcium in the blood, which can have various underlying endocrine or non-endocrine causes.

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

• 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.
• 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.
• 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.
• 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.
• 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.

Note: This list provides a general overview. Specific tests and treatments are determined after a thorough evaluation. Discuss with Dr. Pigeyre 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 Ontario (CPSO) and relevant endocrinological care guidelines. Contact the clinic or your referring physician regarding new patient intake and referral processes.

Dr. Marie Eva Pigeyre practices within an endocrinology clinic situated in Hamilton's North End, in the Beasley neighborhood. The facility is conveniently located near Mohawk College's Fennell Campus, making it accessible for patients in the region. Public transit options are available via the Hamilton Street Railway (HSR), providing easy access to the clinic. The location is fully wheelchair accessible to ensure comfort for all patients. Metered street parking and nearby parking lots are available for those arriving by car, offering flexibility and convenience for patients attending appointments.

Are consultations, hormone tests, and treatments with Dr. Pigeyre, an Endocrinologist (Diabetes & Metabolism Focus), covered by Ontario Health Insurance Plan (OHIP) in ON?

Medically necessary consultations with a licensed Endocrinologist (Diabetes & Metabolism Focus) like Dr. Pigeyre, 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 Ontario Health Insurance Plan (OHIP) in ON 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. Pigeyre's office, the hospital/clinic, or Ontario Health Insurance Plan (OHIP) directly.

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

I have a thyroid nodule. What can I expect during an evaluation with an Endocrinologist like Dr. Pigeyre?

When evaluating a thyroid nodule, an Endocrinologist like Dr. Pigeyre will conduct a thorough assessment. This typically involves reviewing your medical history (including any symptoms of thyroid dysfunction or family history of thyroid disease), performing a physical examination of your neck and thyroid gland, and ordering blood tests to check your thyroid function (TSH, and possibly free T4, T3, and thyroid antibodies). A thyroid ultrasound is almost always performed to precisely characterize the nodule's size, number, and sonographic features (e.g., solid, cystic, calcifications, irregular margins). Based on these ultrasound characteristics and the nodule's size, Dr. Pigeyre will determine if a fine-needle aspiration (FNA) biopsy is needed to obtain cells for microscopic examination to rule out thyroid cancer. Most thyroid nodules are benign.

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

An Endocrinologist (Diabetes & Metabolism Focus) like Dr. Pigeyre 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). She 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.

237 Barton St East
Hamilton, ON L8L 2X2

Phone: (905) 297-3479 | Fax: (905) 297-3789

The facility is wheelchair accessible.

Dr. Pigeyre is a licensed Endocrinologist (Diabetes & Metabolism Focus) regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Regulated Health Professions Act, 1991 and Medicine Act, 1991 in ON. A referral from a family physician or appropriate specialist is typically required for consultations with Dr. Pigeyre for services covered by the provincial health plan.

Verify registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Pigeyre-Marie-Eva/0311452-110498