Introduction and Objective: Diabetes and obesity affect millions of individuals in the United States leading to significant morbidity and mortality. Obesity, major driver for diabetes development, is characterized by insulin and leptin resistance. We previously showed that loss of Gpr17 in selective hypothalamic neurons and intestine led to better energy balance and glucose metabolism. Our […]
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1456-P: Clinical Course of Incident Diabetes in American Indian and Alaska Native People following COVID-19 Illness
Introduction and Objective: Studies report that COVID-19 illness increases diabetes risk, but the clinical course of incident diabetes following COVID-19 illness is unknown. We compared the course of new onset diabetes in American Indian and Alaska Native people with and without evidence of prior COVID-19 illness.Methods: We used de-identified patient data from the Indian Health […]
Read More1892-LB: Exploring Age-Related HbA1c Variations in CHW-Led Programs
Introduction and Objective: Our previous studies demonstrated that a telehealth-supported Community Health Worker (CHW) intervention significantly improved clinical outcomes in diabetes care. However, the extent to which these benefits vary across different age groups remains unclear.Methods: The aim of this study was to assess the effectiveness of the intervention in changing HbA1c across different age […]
Read More1448-P: Predictors of Short- and Long-Term Study Retention in the Diabetes Prevention Program (DPP) Outcomes Study (DPPOS)
Introduction and Objective: The success of longitudinal studies depends on the retention of participants. We examined sociodemographic, clinical and psychosocial characteristics as predictors of retention among participants with prediabetes and type 2 diabetes (T2D) in the DPP/DPPOS.Methods: 3218 adults who joined the DPP (1996-1999, mean age 51±10y) at high risk of T2D were randomized to […]
Read More2131-LB: A New Drug That Targets CD40 Induced Two Long-Term Stage 3 T1DM Subjects from Undetectable C-Peptide to Detectable in a Phase 1b Human Clinical Trial
Introduction and Objective: CD40 promotes autoimmune inflammation. Current therapeutic approaches are monoclonal antibodies. We designed a 15-amino acid peptide targeting the CD40 receptor.Methods: We treated autoimmune canine diabetes mellitus (CDM) and human T1DM subjects with the peptide. CDM were treated with 2 mg/kg by IV or subcutaneous injection (Sub-Q) for up to 18 months. A […]
Read More147-OR: Association of Body Mass Index and Time in Target Range with All-Cause and Cardiovascular Mortality in Adults with Type 2 Diabetes
Introduction and Objective: We aimed to characterize the long-term changes using body mass index (BMI) time in target range (TTR) and test its independent association with all-cause and cardiovascular mortality.Methods: This study included 3524 patients (58% men) aged 40-80 years with at least 3 BMI measurements within 4 years since their first inpatient diagnosis of […]
Read More2130-LB: Novel Insulin Gene Variants in Antibody-Negative Adult-Onset Diabetes
Introduction and Objective: Insulin gene (INS) variants are a rare cause of monogenic diabetes, with clinical presentations including (1) permanent or transient neonatal diabetes and (2) adolescent or adult-onset diabetes sometimes referred to as maturity onset diabetes of the young (INS-MODY/MODY10). Here we report four previously undescribed INS variants in individuals with atypical adult-onset diabetes.Methods: […]
Read More714-P: Oral Glucose Tolerance Test or Continuous Glucose Monitoring for Assessment of Prediabetes State
Introduction and Objective: The oral glucose tolerance test (OGTT) is ‘gold standard’ for defining carbohydrate metabolism abnormalities. Continuous Glucose Monitoring (CGM) is routinely used in diabetes patients for control assessment and dose adjustment but its role for assessment of prediabetes state is still not clear.The objective of our study is to assess the correlation between […]
Read More212-OR: Hepatic Overexpression of ACSS3 Alters Glucose Control and Fatty Acid Metabolism in Lean Mice
Introduction and Objective: Short chain fatty acids (SCFAs) are associated with adverse metabolic outcomes; however, little is known about their link to metabolic disease. Emerging evidence suggests that in addition to acting as signaling molecules, SCFAs also impact cellular metabolism via their conversion to acyl-CoAs by short chain acyl-CoA synthetase (ACSS) enzymes. ACSS3 is a […]
Read More70-OR: Risks of Cancers among Novel Subtypes of Type 2 Diabetes—A Longitudinal Analysis from the United States
Introduction and Objective: Type 2 diabetes (T2D) may be associated with higher cancer risk through chronic inflammation, insulin resistance, and obesity. We assessed cancer risks across T2D subtypes.Methods: Newly diagnosed T2D (n = 727,076; age: 64.4 years [SD:13.3], 52% female) over 2012-2023 from the Epic Cosmos platform were classified into Severe Insulin-Deficient Diabetes (SIDD, 21.6%), […]
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