21-hydroxylase; Defect
Conditions
Keywords
offspring of 21-hydroxylase enzyme block
Brief summary
The main objective of this study is to show that the fetal exposure to excess of glucocorticoids is associated with a deficiency of the function beta insulin in the offspring adult.
Detailed description
The main objective of this study is to show that the fetal exposure to excess of glucocorticoids is associated with a deficiency of the function beta insulin in the offspring adult 23 subjects of exposed offspring will be compared to 23 controls
Interventions
Euglycemic hyperinsulinemic clamp will be performed at day 2
Sponsors
Study design
Eligibility
Inclusion criteria
* Over 18 years Aged * Males * Women of childbearing age with a reliable and effective contraception for over 2 months * Taking dexamethasone between the 6th and the 24th week of gestation by the mother with bloc 21-hydroxylase or normal pregnancy for control subjects * Normal blood pressure and heart rate measured at rest: systolic blood pressure \<= 150 mmHg, diastolic blood pressure \<= 90 mmHg, heart rate between 55 and 90 beats/mn. * Normal laboratory tests or not clinically significant abnormality NFS, platelets PT, aPTT, fibrin TP, TCA, Serum electrolytes, urea, creatinine Uric acid Triglycerides, total cholesterol, HDL cholesterol * Fating bood glucose \<= 6.9 mmol/l (
Exclusion criteria
for diabetes from the American Diabetes Association) during the OGTT. * Negative blood HCG * Accepting the constraints of the protocol and had signed informed and free consent. * Affiliated to the Social Security.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Glucose Tolerance | 3 days | the tolerance will be measured by the area under the curve (AUC) of insulin secretion flow |
Secondary
| Measure | Time frame |
|---|---|
| Insulin Sensitivity | 3 days |
| Flow measurement of insulin secretory response to intravenous glucose | 3 days |
| Measurement of the secretion of insulin and glucagon in response to arginine | 3 days |
Countries
France