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Study Finds G6PD Variant Can Undercut HbA1c, Delaying Diabetes Diagnosis in Black and South Asian Men

Researchers call for routine G6PD screening to reduce missed diagnoses.

Overview

  • Peer‑reviewed findings in Diabetes Care draw on genetic and health records from more than 510,000 participants in UK Biobank and Genes & Health.
  • About one in seven Black men and one in 63 South Asian men in the UK carry G6PD deficiency, yet fewer than one in 50 are clinically recognised.
  • The deficiency makes HbA1c readings appear lower than true glucose levels, contributing to an average four‑year delay in diagnosing type 2 diabetes.
  • Men with the deficiency who have diabetes face a 37% higher risk of microvascular complications, including eye, kidney, and nerve damage.
  • Study authors and health organisations urge changes to testing practice as WHO advises screening in high‑prevalence groups, though routine UK screening remains uncommon and further validation studies are sought.