The TODAY2 study was a longitudinal follow-up study to the TODAY (Treatment Options for Type 2 Diabetes in Adolescents and Youth) study that continued the care and observation of the TODAY cohort participants beyond the end of the TODAY intervention trial. The TODAY2 study had two phases: 1) Transition of TODAY participants to non-blinded, non-randomized standard diabetes care and management with monitoring and follow-up for up to 24 months, and 2) Long-term longitudinal follow-up of the TODAY cohort based on findings from TODAY.
The primary objective of the first phase of TODAY2 was to:
The primary objective of the second phase of TODAY 2 was to track the progression of type 2 diabetes (T2D) and related comorbidities and complications in the TODAY cohort as they transitioned to young adulthood.
The primary outcome measure of the first phase of TODAY2 was to examine the persistence of effects of the TODAY treatment assignment on long-term glycemic control following discontinuation of randomized treatment.
The primary outcome measures of the second phase of TODAY2 was to assess diabetic retinopathy, microalbuminuria, overt diabetic nephropathy, peripheral diabetic neuropathy, cardiac function, arterial stiffness, and cardiovascular risk lipid values over time.
Participants in the TODAY2 study had provided informed consent and had participated in the TODAY clinical trial.
Results showed that despite increased healthcare coverage in states with expanded Medicaid, glycemic control remained poor among the TODAY cohort participants. In addition, the risk of complications due to T2D increased over time, particularly among participants of minority race and those with hyperglycemia, hypertension, and dyslipidemia.
Multidisciplinary Research, Diabetes, Kidney Disease, Obesity
Observational
Obesity Disorder, Vascular Disorder, Diabetic Retinopathy, Type 2 Diabetes Mellitus, Diabetic Kidney Disease
None
None
Type 2 Diabetes, Vascular Complications, Insulin Sensitivity and Secretion, Metformin, Microalbuminuria, Diabetic Retinopathy, Beta Cell Function, Cardiac Function, Glycemic Control
Division of Diabetes, Endocrinology, and Metabolic Diseases (DEM)
Use is allowed only for the specified disease(s), disorder(s), condition(s), or research area(s): Diabetes Mellitus; Obesity Disorders
This NIDDK-funded study is covered by a Certificate of Confidentiality. More information on what this means to Requestors is available in the NIH FAQ.
Specimen | Count |
|---|---|
| Plasma | 13900 |
| Serum | 13992 |
| Urine | 3590 |