Phenotyping Genetic Risk for Type 2 Diabetes

Purpose

This study tests the hypothesis that non-diabetic individuals with a high genetic risk score for type 2 diabetes have impaired glucose tolerance and insulin resistance compared to those with a low genetic risk score for type 2 diabetes.

Conditions

  • Diabetes Mellitus, Type 2
  • Genetics

Eligibility

Eligible Ages
Between 10 Years and 70 Years
Eligible Sex
All
Accepts Healthy Volunteers
Yes

Inclusion Criteria

  • Age 10-70 years - Prior participant of the UPenn Biobank or Center for Applied Genomics Biobank and agreed to be recontacted for future research. - Adults with BMI 25kg/m2 or higher, children and adolescents with BMI 85th percentile or higher

Exclusion Criteria

  • prior diagnosis of type 1, type 2, or secondary diabetes - use of medications that would impact glucose and insulin response such as steroids, metformin or other anti-diabetic medication - acute illness that may impact insulin and glucose dynamics - pregnancy - hypothalamic obesity or related genetic disorder of metabolism - recent systemic chemotherapy use - gastrointestinal impairment or surgery that may impact absorption - anemia - major organ system illness or any underlying condition requiring regular medication or treatment that could make implementation of the protocol or interpretation of the study results difficult - inability to comply with study protocol

Study Design

Phase
N/A
Study Type
Interventional
Allocation
N/A
Intervention Model
Single Group Assignment
Intervention Model Description
cross sectional
Primary Purpose
Other
Masking
None (Open Label)
Masking Description
Data analyses (including by outcomes assessors and investigators) will be de-identified, and individuals performing laboratory analyses and DXA interpretation will be blinded to polygenic risk score for type 2 diabetes. Participants and nursing staff will not be informed of polygenic risk score at the time of the study.

Arm Groups

ArmDescriptionAssigned Intervention
Other
Phenotyping
All participants will undergo a four-hour frequently sampled oral glucose tolerance test in which they will ingest a 75g glucose beverage (intervention) within five minutes and have samples collected at baseline and for four hours after. They will also undergo a whole body DXA (intervention) during the study day.
  • Other: 75g glucose beverage (Glucola, Trutol, or similar brand)
    Subjects will present fasting to the study day and ingest the glucose beverage during the oral glucose tolerance test.
  • Other: DXA, whole body
    Subjects will undergo a whole body DXA scan for assessment of adiposity index and body fat distribution.

Recruiting Locations

University of Pennsylvania
Philadelphia, Pennsylvania 19104
Contact:
Jessica R Wilson, MD, MS
215 898-3389
jessica.wilson3@uphs.upenn.edu

More Details

NCT ID
NCT04024631
Status
Recruiting
Sponsor
University of Pennsylvania

Study Contact

Jessica R Wilson, MD, MS
215 898-3389
jessica.wilson3@uphs.upenn.edu

Detailed Description

The study team will recruit individuals based on genetic risk score for type 2 diabetes from the biobank populations who have agreed to be recontacted for future research. Each participant will undergo a frequently sampled four-hour oral glucose tolerance test and whole body DXA scan (dual-energy X-ray absorptiometry) in addition to baseline laboratory and history assessment.