Diabetes Mellitus Associated With Genetic Syndrome, Wolfram Syndrome
Conditions
Keywords
Wolfram syndrome, Diabetes mellitus, Exenatide, GLP-1 analog, beta cell function
Brief summary
Wolfram syndrome, also referred to as DIDMOAD (diabetes insipidus, diabetes mellitus, optic atrophy and deafness) is a genetic syndrome characterized by beta-cell dysfunction and apoptosis leading to diabetes, neurodegeneration and psychiatric illness. Accumulating evidence indicates that beta-cell failure and neuronal cell dysfunction in Wolfram's syndrome results from a high level of ER stress in affected cells. The current treatment of Wolfram syndrome is insulin, which fails to prevent the progression of beta-cell failure. Several studies showed that GLP-1 analogs are very effective in protecting beta-cells from ER stress. Herein, the investigators suggest studying the impact of GLP-1 analogs in the treatment of patients with Wolfram syndrome. The investigators will Study the effects of GLP-1 analog (Exanatide) on beta-cell function and glycemic control of patients with Wolfram syndrome. Evaluation of beta cell function will be done by performing meal test and IVGTT test before starting GLP-1 therapy, and after 3 month of treatment.
Interventions
Exenatide
Sponsors
Study design
Eligibility
Inclusion criteria
1. Genetic or definitive clinical diagnosis of Wolfram's syndrome including: diabetes mellitus, optic atrophy and at least one additional neurological dysfunction (diabetes insipidus, sensorineural deafness, neurogenic bladder or other type of autonomic or peripheral neuropathy) 2. Age \>18 years 3. Duration of diabetes of \<10 years.
Exclusion criteria
1. pregnant women 2. patients who are unable to give inform consent.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| beta cell function | 3 months | IVGTT test and meal test will be performed before starting treatment with Exenetide and after 3 months of treatment. |