Metabolic Adaptations to Diabetes in African Americans

December 10, 2014 updated by: Steve Davis, Vanderbilt University

Metabolic Adaptations to Diabetes

We do not know why diabetic patients cannot protect themselves against low blood sugar. Therefore, in this study, we will perform a comprehensive assessment of the body's response to low blood sugar by measuring changes in blood hormones, blood sugar production, and nerve signals.

Study Overview

Detailed Description

Morning and afternoon hypoglycemic episodes of 70, 60, or 50 mg/dl produce increased blunting of subsequent counterregulation dependent upon the depth of preceding hypoglycemia. We wanted to test this hypothesis in healthy African American individuals to determine if there is a difference in their responses to varying depths of hypoglycemia.

Study Type

Interventional

Enrollment (Actual)

16

Phase

  • Not Applicable

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 40 years (Adult)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Healthy males and females aged 18-40 yrs with no family history of diabetes mellitus.
  • All prospective volunteers will have routine blood tests to screen for biochemical, hormonal and hematological abnormalities.
  • Female volunteers will also undergo an HCG urine pregnancy test.

Exclusion Criteria:

  • Prior or current history of poor health
  • Abnormal results following blood and physical examination
  • Pregnancy

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Allocation: Randomized
  • Interventional Model: Factorial Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: 1
Single 2 hour hyperinsulinemic euglycemic clamp study at ~90 mg/dl.
2 hour hyperinsulinemic euglycemic clamp (90 mg/dl)
2 hour hyperinsulinemic hypoglycemic clamp (70 mg/dl)
2 hour hyperinsulinemic hypoglycemic clamp (60 mg/dl)
2 hour hyperinsulinemic hypoglycemic clamp (50 mg/dl)
Experimental: 2
Single 2 hour hyperinsulinemic hypoglycemic clamp study at ~70 mg/dl.
2 hour hyperinsulinemic euglycemic clamp (90 mg/dl)
2 hour hyperinsulinemic hypoglycemic clamp (70 mg/dl)
2 hour hyperinsulinemic hypoglycemic clamp (60 mg/dl)
2 hour hyperinsulinemic hypoglycemic clamp (50 mg/dl)
Experimental: 3
Single 2 hour hyperinsulinemic hypoglycemic clamp at ~60 mg/dl.
2 hour hyperinsulinemic euglycemic clamp (90 mg/dl)
2 hour hyperinsulinemic hypoglycemic clamp (70 mg/dl)
2 hour hyperinsulinemic hypoglycemic clamp (60 mg/dl)
2 hour hyperinsulinemic hypoglycemic clamp (50 mg/dl)
Experimental: 4
Single, 2 hour hyperinsulinemic hypoglycemic clamp at ~50 mg/dl.
2 hour hyperinsulinemic euglycemic clamp (90 mg/dl)
2 hour hyperinsulinemic hypoglycemic clamp (70 mg/dl)
2 hour hyperinsulinemic hypoglycemic clamp (60 mg/dl)
2 hour hyperinsulinemic hypoglycemic clamp (50 mg/dl)

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
catecholamines
Time Frame: 2 hours
2 hours

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

July 1, 1998

Primary Completion (Actual)

November 1, 2000

Study Completion (Actual)

December 1, 2010

Study Registration Dates

First Submitted

October 24, 2008

First Submitted That Met QC Criteria

October 24, 2008

First Posted (Estimate)

October 27, 2008

Study Record Updates

Last Update Posted (Estimate)

December 11, 2014

Last Update Submitted That Met QC Criteria

December 10, 2014

Last Verified

December 1, 2014

More Information

Terms related to this study

Other Study ID Numbers

  • IRB # 8177

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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