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Timely detection of diabetes: Why HbA1c test is not enough?

Medical experts say that the HbA1c test only tells how blood sugar has been in the past but does not show where the problem is going in the future.

MM News Staff by MM News Staff
February 17, 2026
Reading Time: 1 min read
via Google

via Google

Medical experts say that the HbA1c test only tells how blood sugar has been in the past but does not show where the problem is going in the future.

According to medical experts, in many patients, despite normal HbA1c, insulin resistance is severe, which is not visible in normal tests.

HbA1c usually increases when the pancreas has been affected for years. Problems like iron deficiency and thalassemia can also show low HbA1c.

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Important tests to check early risk

Fasting insulin and HOMA-IR:

These two tests indicate the earliest signs of insulin resistance when the disease is reversible.

Triglyceride/HDL Ratio:
This ratio in a normal lipid profile, if greater than 3.0, is a sign of serious heart and diabetes risk.

Continuous Glucose Monitoring (CGM):
These tests highlight the fluctuations in sugar throughout the day and dangerous spikes after meals that are hidden in normal reports.

ApoB and hsCRP:
These tests reveal the real particles of heart disease and the level of inflammation in the body, which provides a complete picture of metabolic health.

Early diagnosis, timely treatment

According to medical experts, if insulin resistance is caught early, exercise, especially resistance training, eating at a fixed time, adequate protein, and integrated medical monitoring can not only control but also reverse diabetes.

Experts advise that the tests and evidence are there; the only requirement is that these tests be done before HbA1c rises to dangerous levels.

Note: This is an informational article; please consult your physician for diagnosis and treatment of any of your ailments.

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