Lean Diabetes Study

NCT ID: NCT05407831

Last Updated: 2024-07-25

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

WITHDRAWN

Study Classification

OBSERVATIONAL

Study Start Date

2022-03-15

Study Completion Date

2023-07-26

Brief Summary

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Systematic assessment of perinatal, behavioral and genetic risk factors will be evaluated in an underserved population with lean diabetes (LDM) as compared to a control population with obese type 2 diabetes (ODM).

Detailed Description

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Background:

The prevalence of lean (BMI \<25, non-type 1) diabetes (LDM) is not rare; however, the reason why these individuals develop diabetes without traditional risk factors is often not investigated. Since this subset of individuals with diabetes are not overweight, they represent an ideal population to examine the causes of diabetes development without the confounding effect of obesity. Understanding critical risk factors for non-autoimmune causes of beta cell underdevelopment, injury and failure can impact prevention, early detection and even treatment in this population of lean individuals. Guidelines for diabetes management currently mainly targets either type 1 or overweight/obese type 2 diabetes (ODM) with a lack of guidance on how best to personalize work-up and treatment in LDM.

Objective:

Systematic assessment of perinatal, behavioral and genetic risk factors will be evaluated in an underserved population with LDM as compared to a control population with ODM. Understanding why certain lean individuals develop diabetes will potentially elucidate mechanisms that could be masked when obesity is also present.

Study Hypothesis:

LDM patients have more impaired beta cell function than classic ODM. The potential pathogenic drivers for the beta-cell impairment in LDM may involve in-utero/childhood malnutrition, lifestyle insults to beta-cells like alcohol and smoking and specific genetic traits that impair beta cell function.

Conditions

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Lean Diabetes Mellitus

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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LDM

Lean Diabetes Mellitus

Genetic

Intervention Type GENETIC

Calculate MODY probability

Social habits

Intervention Type BEHAVIORAL

Alcohol vs Smoking vs Drug use

Perinatal stress

Intervention Type OTHER

Survey

ODM

Obese Diabetes Mellitus

Genetic

Intervention Type GENETIC

Calculate MODY probability

Social habits

Intervention Type BEHAVIORAL

Alcohol vs Smoking vs Drug use

Perinatal stress

Intervention Type OTHER

Survey

Interventions

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Genetic

Calculate MODY probability

Intervention Type GENETIC

Social habits

Alcohol vs Smoking vs Drug use

Intervention Type BEHAVIORAL

Perinatal stress

Survey

Intervention Type OTHER

Eligibility Criteria

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Exclusion Criteria

individuals \<20 years of age, currently pregnant or undergoing chemotherapy, those on glucocorticoid therapy; history of bariatric surgery or pancreatitis; known positive antipancreatic antibodies; individuals with a BMI between 25.0-29.9, A1c \>10%
Minimum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Leon Fogelfeld MD

OTHER_GOV

Sponsor Role lead

Responsible Party

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Leon Fogelfeld MD

Principal Investigator

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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Cook County Health

Chicago, Illinois, United States

Site Status

Countries

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United States

Other Identifiers

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19-204

Identifier Type: -

Identifier Source: org_study_id

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