RecruitingNot ApplicableNCT04008147

Hepcidin and Glucose Metabolism

The Effect of Oral Iron Supplements on Hepcidin, Insulin and Glucose Metabolism in Pregnancy


Sponsor

Swiss Federal Institute of Technology

Enrollment

30 participants

Start Date

Jul 3, 2019

Study Type

INTERVENTIONAL

Conditions

Summary

Gestational diabetes mellitus (GDM), defined as hyperglycemia with blood glucose values above normal but below those diagnostic of DM, and iron deficiency (ID) with or without anemia (IDA) are common during pregnancy. Both disease patterns are associated with an increased risk of complications during pregnancy and at delivery and may have a variety of negative effects on different aspects of child development. Thus, GDM and ID/IDA during pregnancy should be prevented. Whether iron supplementation with high oral doses acutely increases hepcidin during pregnancy, and whether this acute iron-induced increase in hepcidin decreases insulin sensitivity, is uncertain.


Eligibility

Sex: FEMALEMin Age: 18 YearsMax Age: 45 Years

Inclusion Criteria7

  • week of pregnancy 24-28
  • pre-pregnancy BMI \<27.5kg/m2
  • singleton pregnancy
  • Hb \> 8.0 g/dl
  • Willing to either:
  • not take any iron supplements for 14 days (however, participants will receive a similar amount of total iron during the 4 study days that they would normally receive over 14 days) OR
  • to take the multivitamin "Burgerstein Schwangerschaft and Stillzeit" supplements over the 14 days (contains 30 mg iron)

Exclusion Criteria6

  • iron infusion within the past 6 months
  • severely anemic Hb\<8.0g/dl
  • acute or chronic disease
  • long-term medication
  • medical problems known to affect iron homeostasis
  • smoking

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Interventions

DIETARY_SUPPLEMENT100mg iron fumarate

100mg iron fumarate b.i.d. for 4 consecutive days

DIETARY_SUPPLEMENTBurgerstein Schwangerschaft & Stillzeit

contains 30 mg iron fumarate, given on 14 consecutive days


Locations(1)

Human Nutrition Laboratory ETH Zurich

Zurich, Switzerland

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NCT04008147


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