decreased sensitivity to blood sugar regulating hormone insulin sensitivity
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Need for blood sampling on a clinical indication, e.g. for neonatal screening program or before discharge home. - (Near) term age at the moment of blood sampling (corrected postconceptional age 36-42 weeks) - Full oral or enteral nutrition (>120 ml/kg/day)
Exclusion criteria
Exclusion criteria: - Uncertain gestational age - Supplementary intravenous nutrition (parenteral nutrition or glucose infusion) - Disturbances in glucose metabolism (hypo- or hyperglycemia at a normal carbohydrate intake, or need for insulin therapy to maintain glucose concentration between 2.6 and 8 mmol/l) - Need for medication interfering with glucose metabolism (vasopressors, corticosteroids) - Positive family history of type 2 diabetes in first degree relatives - Perinatal asphyxia (5 minute Apgar score
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome is insulin sensitivity measured by homeostasis model (IR-HOMA). This requires a single blood sample for glucose and insulin concentrations. | — |
Secondary
| Measure | Time frame |
|---|---|
| Not applicable. | — |
Countries
Netherlands