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

Plain Language Summary

Simplified for easier understanding

This study investigates the relationship between a hormone called hepcidin (which regulates iron in the body) and blood sugar (glucose) metabolism in pregnant women. It specifically focuses on the period between 24 and 28 weeks of pregnancy, which is when gestational diabetes screening typically occurs. Researchers want to understand how iron levels and hepcidin interact with blood sugar regulation. During pregnancy, the body's need for iron increases significantly. Hepcidin is the key hormone that controls how much iron is absorbed and used. Researchers suspect that disruptions in iron balance may influence insulin sensitivity and glucose metabolism, possibly contributing to gestational diabetes. This study will measure these relationships carefully under controlled conditions. **You may be eligible if...** - You are a pregnant woman between 24 and 28 weeks of gestation - You are carrying a single baby (singleton pregnancy) - Your pre-pregnancy BMI was below 27.5 kg/m² - Your hemoglobin level is above 8.0 g/dL - You are willing to either temporarily pause iron supplements or take a specific multivitamin for 14 days **You may NOT be eligible if...** - You have received an iron infusion in the past 6 months - You are severely anemic (hemoglobin below 8.0 g/dL) - You have an acute or chronic illness - You are on long-term medications - You have a medical condition known to affect iron levels - You smoke **Talk to your doctor** about your iron levels, pregnancy health, and whether participating in a dietary iron research study is safe for you and your baby.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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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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