Physiologic Markers of Cardiometabolic Risk in People With Type 1 Diabetes

Trial statusRecruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age18-30
SponsorYale University

About this trial

More than 40% of young adults with type 1 diabetes (T1D) also have overweight or obesity. Each of these diagnoses increase the risk of adverse cardiovascular events. Investigators aim to obtain reference data for individuals with T1D who do not have overweight obesity, to understand how close GLP-1 analogue obesity treatment in those with overweight/obesity brings physiologic markers of cardiometabolic risk to those with BMI in the normal range. Specifically, investigators will describe how drivers of gluconeogenesis and lipemia (specifically measured as visceral fat ratio, insulin resistance, and postprandial lipemia,) that contribute to cardiometabolic risk in T1D change over time.

Eligibility criteria

Qualifiers

Provision of signed and dated informed consent form

Stated willingness to comply with all study procedures and availability for the duration of the study

Male or female, aged 18 to ≤30 years

Diagnosed T1D for at least 12 months and with BMI <25 kg/m2.

Disqualifiers

Current use of adjunctive diabetes medication or anti-obesity medication

Insulin dose <0.5 units/kg/day

Use of lipid lowering prescription medication other than statins or omega-3 products

Doesn't meet MRI safety criteria or having claustrophobia

Trial design

Treatments tested in this trial

  • Hyperinsulinemic-euglycemic clamp
  • High Fat Mixed Meal Tolerance Test

Treatment groups

15 Participants
are divided into 1 treatment group

Sponsors and collaborators

Yale University

Lead sponsor

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Collaborator