Pediatric Endocrine Nutrition TEAM (PENS Team)
We work with the child with diabetes, their family and the pediatric endocrinologists to provide a comprehensive approach to diabetes management
1625 Stockton Blvd, Suite 112, Sacramento, CA 95816
 PENS Team phone numbers: 
PENS scheduling requests: 916 887 4865 & 916 887 4814
PENS clinical questions: 916 887 4818
PENS Fax: 916 887 4822
SPANISH LINE TO CALL PENS team : 916 887 4965


Pediatric Endocrine Nutrition TEAM (PENS Team) We work with the child with diabetes, their family and the pediatric endocrinologists to provide a comprehensive approach to diabetes management

The PENS team consists of  nurses, dietitians, and social workers who have years of experience in teaching children and their families how to care for diabetes and they work with pediatric endocrinologists from CEDE on  a consistent basis.  We are an American Diabetes Association Recognized Center and are regarded by others in the community as a premier, cutting-edge service utilizing the latest technology in managing diabetes.

Meeting with a certified diabetes educator nurse focuses on the medical part of diabetes including medications,  blood sugar patterns,  and how to manage and problem solve issues that are affecting control.  The certified diabetes educator dietitian can also help with above but their focus is on nutrition, healthy eating habits and growth.  Our licensed clinical social worker focuses on how to integrate diabetes into everyday life and is there to support the emotional side of having a chronic illness. Your doctor and/or other provider might suggest meeting with one of these experts to support you.

Types of Appointments:
  1. The comprehensive team appointment meeting all the providers – highly recommended for every child at least once a year. This is a mandatory requirement for children who have CCS (California Children’s Services), but an absolutely essential option for children with other insurances as well.
  2. Individualized appointments:  You can have an individualized appointment with one, two or all three specialists. 
  3. Group Appointments.

Types of group appointments and classes we provide:
1. Diabetes Basics Class is for those children/families that are newly diagnosed or for families that would like a refresher.  This 3 hour class allows children and families to meet others going through similar feelings and issues of the newly diagnosed while the team teaches all the skills needed to be successful in living and managing diabetes.  
2. Intro to Insulin Pump is for the children/families interested in learning more about the insulin pump. This 1 hour class describes insulin pumps and continuous glucose monitors.  We include what pumps are being prescribed by the pediatric endocrinology group, which can help you and your child, together with your doctor, pick the best pump.
3. Insulin Pump Initiation is for children getting started on their pump with insulin.  It is done in an interactive, fun group format but at the same time the children are being continuously observed to ensure insulin doses and settings on the pump is optimized.  This is a 2-day class.
4. Teen Group is for the teenager that is struggling with their diabetes and as a result blood sugar control has suffered.  The teens meet with the social worker monthly to discuss and help each other problem solve how to live with diabetes.  These groups have been very effective, allowing the teen to meet with others who are going through the same thing.  It is not a promise, but we have seen a lot of teens lower their HbA1c while attending these groups.
5. Preschool Group is a group for those children who are very young and depend completely on their parents to manage the diabetes.  It provides support for the parents in sharing resources with each other as well as tips on managing diabetes for those children who can be more sensitive to food, insulin and activity.

 In addition to what we routinely do for our children, based on our experience and assessed needs for that particular child, you as the parent/guardian can go over the list below to choose if there is an area you have identified as a specific need for your family.

o      Learn how to interpret blood sugars, look at patterns, and change insulin doses
o      Advanced pumping skills- maximizing the pump to improve blood sugars
o      Exercise and diabetes- how to manage blood sugars to improve performance
o      Computers and Downloading- creating reports to find trends in blood sugars
o      How to parent the young child, pre-teen or teenager with diabetes
o      Exploring the pros/cons of insulin pump therapy and brands available
o      Nutrition- meet with dietitian to see if current eating patterns healthy for the child and family.  Picky eaters, weight management, food battles.
o      Challenging foods and events- how to dose insulin
o      Teen issues- driving, drinking, dating
o      Transitioning from child to adult, what to know. This is a multi-session program spread over few years to optimize the transition
o      What should your child be doing independently, supervised?
o      Want to learn more about celiac disease? Gluten-free foods.
o      How to handle sick days, prevent ketones and stay out of the hospital
o      Trouble with the School Plan?  Need a 504 plan?  Get tips and advice.
o      Is your child, teen growing and developing appropriately?
o      Are you using the right meter, lancing device, pump, infusion set, and insulin pen?  Talk to a certified diabetes educator to see if you have the right equipment.
o      Social Aspects of Diabetes: Being social with diabetes, friend issues, diabetes camps, parties and special occasions.
o      Research and Diabetes: Sutter Medical Center and Center of Excellence in Diabetes and Endocrinology participate in multiple research projects. Ask us to connect you to some of the ongoing research projects.
o      Getting involved: You and your family can get involved in helping other families in the region. Ask us how and we will be glad to connect you with all the resources.

While this list is comprehensive, you might have something which is not in this list and we are willing to listen to your needs and incorporate that in your child’s care as well

1625 Stockton Blvd, Suite 112, Sacramento, CA 96816
Phone:  916. (916)262-9165 and (916) 262 9114

Rosanna Hannum, CNS, CDE Rosanna Hannum has been a registered nurse for 20 years.  She is also a clinical nurse specialist receiving her master’s in nursing in 2005, specializing in pediatric endocrinology.  She worked in the hospital as a pediatric nurse from 1994-1999 and enjoyed teaching children and their families who were newly diagnosed with diabetes.  She then moved to the PENS clinic, where she has taught children with diabetes for 16 years.  She is a certified diabetes educator and a pump trainer.  She loves her job and hopes to make diabetes easier to manage for all her patients and their families.  She also has had type 1 diabetes for 30 years.

Lisa Metzger, RN, CDE Lisa Metzger completed her Bachelor of Science degree from California State University, Sacramento in 1986.  Lisa is a Certified Diabetes Educator and Certified Pump Trainer.  She has more than 25 years of nursing experience, including work in the NICU as a bedside nurse and as a discharge planner.  For the past 14 years she has been one of the nurses on the PENS team where she is dedicated to helping patients and families understand that they can live well with diabetes.  Her job allows her to combine a lifelong desire to teach with a passion for nursing.  

Marisa Salas-Silva,  LCSW Marisa Salas-Silva is a Licensed Clinical Social Worker. She received her master’s degree in Social Work in 2007 from San Diego State University. As part of her training Marisa has worked with children, adolescents, and adults in both medical and school settings. She has been with Sutter Health since 2012 and worked as a per diem employee in both the hospital and outpatient clinics where she covered the Pediatric Endocrinology and Nutrition Services. In 2013 she took the opportunity to become a part-time and eventually a full-time social worker at the clinic. Marisa provides support to patients and their families living with chronic medical conditions and is enthusiastic about working with a team who is committed to their patients.

Shaun Gray, LCSW Shaun Gray has been a social worker at Sutter for 19 years.  She started her career working in the post partum and NICU units at Sutter Memorial.  She has worked in the outpatient clinics since 2003 in the pulmonary team, GI team and craniofacial clinic.  She began working on the PENS team March 2013 on Fridays.  Shaun enjoys working with teen patients and their families.  Her areas of expertise are adherence with medical treatment and parenting children with health issues.

Geneva Foncannon, RD, CDE Geneva received her Bachelor’s degree in Dietetics from UC Davis, then went on to complete her Dietetic Internship at the Brigham and Women’s hospital in Boston, Massachusetts.  By far, her favorite rotation was at the Boston Children’s Hospital, which launched her efforts at pursuing a career in pediatric nutrition.  She joined Sutter Children’s Center, working on the PENS team in 2001 and hasn’t looked back since!  She became a Certified Diabetes Educator later that year and has maintained this as her specialty in pediatric nutrition, allowing her to combine this expertise with the medical management of diabetes.   She is passionate about helping families improve the feeding relationship, especially within the constraints of managing diabetes, which naturally requires a significant amount of focus on food.  She has enjoyed how her career has morphed over the years, and most recently is excited by coordinating the PENS team insulin pump program with the help of her colleagues.  Geneva identifies that supporting children and their families to live healthy, happy lives with diabetes brings her the most joy!

Erin Love RD Erin received her second bachelor’s degree in Dietetics from CSU Sacramento, then went on to complete her Dietetic Internship also at CSUS.  She joined the Sutter team in 2011 initially working inpatient, primarily working with high risk maternity and adult patients but also covering in pediatrics, outpatient Sweet Success and inpatient diabetes education.  She made the move over to outpatient in 2016 and is loving the new role!  She works in PENS Clinic, Mothers of Multiples and Sweet Success, which provides services to pregnant women who have type 1, type 2 and gestational diabetes.  She loves all aspects of food:  cooking, baking, cake decorating, recipe development and of course eating.  She also has an interest in plant based eating.  Her favorite parts of her new role are talking about food and working with patients and families to help them reach their goals.

Janeka Whitelaw, OPAR

Janeka Whitelaw is the Outpatient Admissions Support Representative for the Sutter Children’s PENS team. She is currently attending college at American River College working on her AA in Sign Language studies. She has 2 year old son who gives me lots of unwanted exercise every day. I have worked for Sutter in Pediatrics for 10 years and being around children is what I love most. My job is to schedule all new patient referrals and to stay up to date on any authorizations needed for our patients to be seen by the PENS team.  The most important part of  my job is making sure our families get the best experience within our department. We definitely work as a team here and treat our families as if they were our own

Pediatric Diabetes  CONFERENCE 2018 
Click on the links below to download presentations: 
Celina Trujillo Type 2 Diabetes

Faced Paced Evolution of Diabetes Technology
Happiness - Dr. Prakasam
Real Life Diabetes Case Studies
Gut Microbiome

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