MC4R (melanocortin 4 receptor) is a key regulator of energy balance and appetite. Mutations in this gene are the most common monogenic cause of early-onset obesity. The link to blood glucose is complex: MC4R signaling influences insulin secretion and insulin sensitivity. Studies show that carriers of MC4R variants have an increased risk of hyperinsulinemia and impaired glucose tolerance – partly independent of body weight. However, effects are moderate and overshadowed by lifestyle and environment. A DNA test for MC4R can provide hints but does not replace clinical diagnostics. Evidence is based on human studies and GWAS, but not strong enough for standalone treatment decisions. Be cautious of overinterpretation by consumer tests.
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