Studying Infant Nutrition and Blood Sugar

NCT ID: NCT03524469

Last Updated: 2024-12-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

156 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-06-01

Study Completion Date

2024-12-01

Brief Summary

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The purpose of this study is to learn about how breast milk from mothers with insulin-resistance may be different. Investigators are specifically studying insulin concentrations in breast milk. Investigators are also studying how insulin in breast milk might affect a baby's intestines and pancreas.

Detailed Description

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Conditions

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Insulin Resistance Obesity

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Normal weight

"Normal Weight" will be defined as pre-pregnant BMI between 18.5-23.9 kg/m2 and passing the 28 week oral glucose tolerance test.

No interventions assigned to this group

Insulin resistant

"Insulin Resistance" will be defined as meeting any of the following:

* pre-pregnant BMI ≥ 28 and failed the 28 week oral glucose screening test
* pre-pregnant BMI ≥ 28 and diagnosis of either A1 ("diet controlled") or A2 ("insulin-requiring") gestational diabetes during pregnancy, but insulin therapy discontinued after birth.
* pre-pregnant BMI ≥ 28 and diagnosed with type 2 diabetes during pregnancy
* pre-pregnant BMI ≥ 30, and unmediated.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Mothers ≥ 19 years of age
* Mothers intending to Exclusively Breastfeed for at least 5months
* Mothers comfortable with feeding their infants expressed breast milk from a bottle at 2-weeks postpartum
* Trial of labor (no scheduled C-sections)
* Singleton birth
* Healthy Infants
* "Normal Weight" will be defined as pre-pregnant BMI between 18.5-23.9 kg/m2 and passing the 28 week oral glucose tolerance test.
* "Insulin Resistance" will be defined as meeting any of the following:

* pre-pregnant BMI ≥ 28 and failed the 28 week oral glucose screening test
* pre-pregnant BMI ≥ 28 and diagnosis of either A1 ("diet controlled") or A2 ("insulin-requiring") gestational diabetes during pregnancy, but insulin therapy discontinued after birth.
* pre-pregnant BMI ≥ 28 and diagnosed with type 2 diabetes during pregnancy
* pre-pregnant BMI ≥ 30, and unmediated.

Exclusion Criteria

* Scheduled C-sections or emergency C-sections with no labor (natural or induced)
* Maternal insulin therapy after birth
* Significant maternal health concern including type 1 diabetes, renal, kidney, thyroid, or cardiovascular disease, pre-eclampsia, or other disease.
* Delivery before 37 weeks
* Infant birth weight \<2500g
* Infant medical or genetic indications that would impact normal feeding behavior, insulin signaling or growth patterns
* Infant supplementation with infant formula (glucose gel or donor milk is acceptable)
Minimum Eligible Age

19 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

NIH

Sponsor Role collaborator

The Gerber Foundation

OTHER

Sponsor Role collaborator

University of Rochester

OTHER

Sponsor Role lead

Responsible Party

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Bridget Young

Research Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Clinical Research Center of the University of Rochester Medical Center

Rochester, New York, United States

Site Status

Countries

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United States

Other Identifiers

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K01DK115710

Identifier Type: NIH

Identifier Source: secondary_id

View Link

RSRB71535

Identifier Type: -

Identifier Source: org_study_id