NIH-funded research U01 cooperative agreement

Pathway to youth-onset type 2 diabetes: understanding puberty-driven risk

Official title: Illuminating the path(ophysiology) to development of youth-onset type 2 diabetes (PATH-NC)

Funded at Wake Forest University Health Sciences · NIH-11505269 · Data updated 2026-11-12

A longitudinal study following high-risk youths through puberty to better understand how puberty affects the development and complications of youth-onset type 2 diabetes.

Quick facts

Grant typeU01 cooperative agreement
Study typeNIH-funded research
Funding institutionWake Forest University Health Sciences
NIH-funded
Lab location1 site (Winston-Salem, United States)
Project startAugust 1, 2026
Project endJanuary 31, 2029
Funding year2026
Award (this year)$159,382
NIH project number3U01DK134967-04S1
Project IDNIH-11505269 on NIH RePORTER

Who could benefit from this research

Could help

Ideal participants are youths at high risk for youth-onset type 2 diabetes, particularly American Indian and non-Hispanic Black youths, around puberty with obesity or family history of diabetes.

Less likely to help

Youth not at high risk or not entering puberty during the study period may have limited direct benefit.

What this research studies

This project follows high-risk youths, especially in American Indian and Black communities, over time to map how puberty changes insulin sensitivity and how early signs of type 2 diabetes emerge. Researchers will collect detailed health data during puberty, identifying key pathophysiologic markers and the timing of complications like kidney, eye, nerve, and blood vessel problems. The study builds on the SEARCH for Diabetes in Youth findings to explore why some youths with obesity or family history progress to diabetes while others do not. By tracking participants through puberty (Tanner stages), the study aims to pinpoint windows for prevention and early intervention that could reduce long-term harm. The effort will engage clinical sites and communities to ensure findings translate into practical guidance for patients and families.

Why it matters

Potential benefit: If successful, the study could clarify when and how youth enter puberty-related risk for type 2 diabetes, guiding earlier prevention and targeted care for high-risk youths.

How similar studies have gone: Previous work in SEARCH for Diabetes in Youth has shown meaningful insights into youth-onset T2D, supporting the potential value of deep phenotyping during puberty.

Where this research is happening

  • Wake Forest University Health Sciences
    Winston-Salem, United States
    Active

Researchers

  • Principal investigator: Jensen, Elizabeth T — Wake Forest University Health Sciences
  • Study coordinator: Jensen, Elizabeth T

Related research

Other NIH-funded projects on the same topics.

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.