Effect of Postprandial Hyperglycemia on Vasculature in Type 1 Diabetes and Healthy Adults
NCT04730882 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 36
Last updated 2025-03-30
Summary
To the investigator's knowledge, there are no data available in the current literature regarding the acute effects of postprandial hyperglycemia and insulin timing on myocardial perfusion in people with type 1 diabetes (T1D). Observational studies using CEU in type 2 diabetes demonstrate that postprandial hyperglycemia determines myocardial perfusion defects. The investigator hypothesizes that the combination of postprandial hyperglycemia and insulin increases pulse wave velocity (i.e., aortic stiffness) and myocardial vasoconstriction, thereby reducing myocardial perfusion in T1D when compared to healthy controls. Furthermore, the investigator hypothesizes in T1D that dosing insulin before meal intake will ameliorate these cardiovascular defects.
Conditions
- Type 1 Diabetes
- Hyperglycemia, Postprandial
Interventions
- DIETARY_SUPPLEMENT
-
Mixed Meal
the meal will be 40% of each subject's daily estimated caloric need, with 50%, 30%, 20% from carbohydrates, fat and protein, respectively
Sponsors & Collaborators
-
National Center for Advancing Translational Sciences (NCATS)
collaborator NIH -
University of Virginia
lead OTHER
Principal Investigators
-
William Horton, MD · University of Virginia, Department of Endocrinology
-
Zhenqi Liu, MD · University of Virginia, Department of Endocrinology
Eligibility
- Min Age
- 18 Years
- Max Age
- 35 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2021-04-06
- Primary Completion
- 2024-10-18
- Completion
- 2024-10-18
Countries
- United States
Study Locations
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