VKORC1 encodes vitamin K epoxide reductase, a key enzyme for activating vitamin K-dependent proteins. These include osteocalcin and matrix Gla protein, which may theoretically influence glucose metabolism via insulin secretion or sensitivity. However, evidence for a direct role of VKORC1 variants on blood sugar is weak and mostly mechanistic. Studies show inconsistent associations, and effect sizes are small. In consumer DNA tests, VKORC1 is primarily analyzed for warfarin sensitivity, not blood sugar. A single genetic variant in VKORC1 does not reliably predict diabetes risk or glycemic control. Lifestyle factors such as diet, exercise, and weight are far more impactful. Caveat: Do not change diet or supplements based solely on this gene.
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