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[4] Clinical assessment should focus on identifying the cause of elevated levels rather than assuming toxicity from supplementation alone

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When HbA1c is considered unreliable, UK and WHO guidance recommends using fasting plasma glucose or a 75 g oral glucose tolerance test (OGTT) for diabetes diagnosis or assessment, as outlined in WHO 2011 guidance on the use of HbA1c in diabetes diagnosis and reflected in NICE NG28 (Type 2 Diabetes in Adults: Management)

Plan for 4 to 6 months