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Common Genetic Variant Skews HbA1c, Delaying Diabetes Diagnosis in Black and South Asian Men

Inaccurate HbA1c readings in carriers delay diagnosis by years, raising microvascular complication risk.

Overview

  • Peer-reviewed research in Diabetes Care, using UK Biobank and Genes & Health data on more than 510,000 people, reports widespread G6PD deficiency in the UK.
  • Prevalence estimates show about one in seven Black men and one in 63 South Asian men carry the variant linked to misleadingly low HbA1c results.
  • Men with the deficiency were diagnosed with type 2 diabetes roughly four years later than peers without the variant.
  • Affected men faced a 37% higher risk of diabetes-related microvascular complications, including eye, kidney, and nerve damage.
  • Fewer than one in 50 carriers were clinically recognised; study authors, Diabetes UK, and NIHR figures call for routine G6PD screening or revised testing pathways, noting WHO guidance is not widely applied in the UK.