Young women with type 1 diabetes or healthy controls. Nutritional, Metabolic, Endocrine Type 1 diabetes
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: T1DM patients: 1. Clinical diagnosis of T1D is clear (patient received treatment with insulin from the time of diagnosis with clinical evidence of severe insulin deficiency). 2. Age: 16-25 years old. 3. Seeking contraception. 4. HbA1c lower than 13% 5. Has not used hormonal contraception for the last three months Healthy subjects: 1. Age 16-25 years old 2. Seeking contraception 3. Has not used hormonal contraception for the last three months
Exclusion criteria
Exclusion criteria: Both groups of subjects (patients with type 1 diabetes and healthy controls): 1. Chronic conditions such as celiac sprue, epilepsy, cardiopulmonary or gastrointestinal conditions are present. 2. Use of steroidal medication. 3. Contraindications for using hormonal contraception (WHO criteria: migraine with aura, prothrombotic problems, etc) Persons with type 1 diabetes: 1. HbA1c higher than 12.9% 2. Honeymoon period 3. Other type of diabetes Healthy controls: 1. Menstrual cycle abnormalities according to the American Academy of Pediatrics.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Inflammatory markers is measured using C-Reactive Protein Levels at baseline, three, six, and 12 months 2. Metabolic control (HbA1c) is measured using HbA1c with DCA-2000 (Siemens) equipment at month three, six, nine and 12 3. Bone Mass is measured using DXA (Lunar Prodigy GE) at baseline, 12 and 24 months 4. Insulin sensitivity is measured using estimated insulin sensitivity index, which includes the measurement of adiponectin and was validated for subjects with and without T1D6 at baseline, three, six, and 12 months 5. Telomere length is measured using blood tests at baseline and at 12 months | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Metabolic control will be assessed at 18 and 24 months in women with type 1 diabetes 2. Bone mass DXA (Lunar Prodigy GE) and insulin sensitivity in all the participants is assessed using DXA (Lunar Prodigy GE) and insulin sensitivity index at 24 months of treatment | — |
Countries
Chile