The purpose of the work was to analyze the state of medical care for children with endocrine pathology in the city of Kharkov in the period 2015—2019, to analyze the prevalence and structure of diseases of the endocrine system.Materials and methods. The data of the Center for Medical Statistics of the Ministry of Health of Ukraine were used (statistical reporting form 31 «Report on medical care for children»), with mathematicalstatistical, bibliosemanticand content analysis.Results and discussion. A new form of endocrinological care for the child population is the creation of a city endocrinological office at a scientific multidisciplinary pediatric institution (State Institution «IOZDPNAMS»), which improved the registration of children, ensured the completeness of medical examination, the appointment of rehabilitation measures. Children who apply to the city endocrinology office have the opportunity to get a free consultation of a neurologist, psychiatrist, psychologist, ophthalmologist, ENT, dentist, gastroenterologist, undergo ultrasound diagnostics, REG, EEG, study at a school for selfmonitoring of diabetes mellitusand obesity on the basis of the State Institution «IOZDPNAMS» In patients with diabetes mellitus and labile course, it is possible to control diabetes both by test systems and to carry out professional monitoring of glycemia free of charge at home, with an analysis of glycemic indicators by an endocrinologist.Conclusion. The most common endocrine pathology among all children of the city endocrinology office is type 1 diabetes. The specialists of the State Institution «IOZDPNAMS» have proposed an algorithm for staged support of children with type 1 diabetes, which includes glucose monitoring, training in injection techniques and increasing knowledge about diet and daily routine, physical activity. Also, for practical use, there are examples of calculations of some individual indicators, including in the presence of flash monitoring in a child. This will help to optimize the work of primary care specialists in helping children with endocrine pathology.