Monogenic Diabetes
Conditions
Brief summary
The purpose of this study is to explore the mechanisms of metabolic control in monogenic diabetes patients treated with sulfonylurea medications.
Detailed description
Monogenic diabetes patients and healthy matched controls will be admitted to the University of Chicago Clinical Resource Center for a total of 4 nights. The following will take place on separate days: 1. Oral Glucose Tolerance Test (OGTT): consume sugary drink and blood samples will be collected at multiple time points 2. Isoglycemic glucose infusion (IGI) test: glucose will be infused via a vein in the arm and and blood samples will be collected at multiple time points 3. OGTT during GLP-1 infusion 4. IGI during Exendin-9 infusion
Interventions
OGTT IGI IGI with GLP-1 infusion OGTT with Exendin 9-39 infusion
OGTT IGI IGI with GLP-1 infusion OGTT with Exendin 9-39 infusion
Sponsors
Study design
Eligibility
Inclusion criteria
Monogenic Diabetes Subjects: Inclusion Criteria: * Diagnosis of monogenic diabetes * Previously participated in US Neonatal Diabetes Registry (IRB 15617B) or Genetics of diabetes mellitus (IRB 6858) * Age: 18 years +
Exclusion criteria
* Pregnancy * Acute medical illness or chronic conditions including: cardiac failure, renal insufficiency (estimated glomerular filtration rate \<50 ml/min), hepatic insufficiency (known cirrhosis or hepatitis), chronic obstructive pulmonary disease, gastrointestinal disorders causing malabsorption, anemia (Hct \< 36%), or uncontrolled hypertension Healthy Controls: Inclusion Criteria: * Good general health * Stable weight for 6 months * Age: 18 years +
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incretin Effect | Baseline | Directly calculated from the difference between oral and IV stimulated insulin secretion |
Countries
United States