HbA1c is a long-term marker of blood glucose control. Weight loss typically improves insulin sensitivity, leading to lower HbA1c. Genetic variants such as TCF7L2, MTNR1B (rs10830963), and GCKR have small effects on fasting glucose, but they are not decisive for weight loss success. Important caveats: HbA1c can be skewed by anemia, hemoglobin variants, or kidney disease – a single SNP does not determine your metabolic health. The evidence for these genetic associations comes from GWAS with modest effect sizes. The most powerful intervention for lowering HbA1c remains a calorie deficit combined with exercise and a fiber-rich diet. Do not let individual gene variants worry you; lifestyle factors have a far greater impact.
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