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HbA1c is not appropriate for diagnosing diabetes in the following groups, where fasting plasma glucose or an oral glucose tolerance test (OGTT) should be used instead: Pregnant women Children and young people People with suspected type 1 diabetes People who are acutely unwell Those with symptoms of diabetes present for fewer than two months People with haemoglobin variants or haemoglobinopathies (e.g., sickle cell trait) Those with conditions affecting red blood cell turnover (e.g., haemolytic anaemia, recent blood transfusion) People with advanced chronic kidney disease Fasting insulin is not a standard NHS diagnostic test for diabetes

In doing so, it reduces one of the key upstream signals that tells your skin to produce more pigment