Multicenter Research Study to Build a Repository to Study Chronic Diseases in Indiana

Study Aim:

The purpose of this study is to create an extensively annotated bio-repository platform for
hypothesis-driven research that will lead to advancements in the diagnosis, treatment and
prevention of diseases common to the population of Indiana. The second phase of this
research platform will be created by collecting blood samples from two groups of individuals
in the Central Indiana community, one with documented evidence of Diabetes Mellitus Type
II(T2D), and a second group of age, gender and ethnicity matched individuals without
clinical evidence of Diabetes. Each individual's blood sample will be linked to their
clinical, demographic and epidemiological information, gathered both retrospectively and
prospectively.

Recruitment:

This study will include 500 individuals with T2D (the T2D Group) and 500 individuals who are
age, gender, and ethnicity matched to the T2D Group, but without presentation of clinical
evidence of T2D (the Control Group). To reflect the growing representation of Hispanics in
Central Indiana, Hispanics will be overly recruited in both groups so that the study
population accurately reflects the general population of Central Indiana.

Follow-up:

As this is a prospective, longitudinal study, follow-up of study subjects is intended to
include two follow up visit and continue indefinitely, unless, of course, at any time,
consent for further follow-up is withdrawn by the subject. Follow-up will include visits at
2 and 5 years post initial contact and continuing access to the subject's medical record to
pursue data concerning changes in the subject's health. Subjects may be contacted by
telephone, mail or email every twelve months to ask if they wish to continue participation
in the study. The 2 and 5 year follow up visits mirror the initial visit.

The collected dataset (made up of the collected blood samples linked to clinical and
epidemiological information collected retrospectively and prospectively), will be used in
medical research to find genes, or gene products such as RNA or proteins that will help in
understanding the causes of disease and will guide the development of new treatments

Inclusion Criteria:T2D Group

Study subjects will be recruited for the T2D group based on a history confirmed by the
medical record of at least one of the following:

- A fasting blood glucose of greater than or equal to 126 mg/dL on two separate
occasions

- A random (non-fasting) blood glucose of greater than or equal to 200 mg/dL on two
separate occasions

- A blood glucose of greater than 200 mg/dL at 2 hours during a standard oral glucose
tolerance test

- A HgbA1c of greater than or equal to 6.5%

Females who are pregnant will be excluded.

Control Group

Study subjects for the Control Group will have:

- no confirmed history of T2D as defined above

- A fasting blood glucose of 100 mg/dL or less

Medical records will be obtained to ensure subjects meet study inclusion criteria.

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Exclusion Criteria:Exclusion criteria for both the T2D Group and the Control Group are a
known or reported history of:

- Hepatitis B

- Hepatitis C

- AIDS (HIV positive)

- Tuberculosis

- Cancer (including melanoma, but excluding low-malignancy skin cancer)

- Non-autologous bone marrow transplant

- Blood transfusion within 120 days