The KgA1c Paradox: Widening the spectrum Authors Sanjay Kalra Department of Endocrinology, Bharti Hospital, Karnal, India; University Center for Research & Development, Chandigarh University, Mohali, India; Suneet Verma Department of Medicine, Alchemist Hospital, Panchkula, India; Nitin Kapoor Department of Endocrinology, Diabetes and Metabolism, Christian Medical College, Vellore, India; Non communicable disease unit, Baker Heart and Diabetes Institute, Melbourne, Victoria, Australia. DOI: https://doi.org/10.47391/JPMA.24-54 Abstract The term KgA1c paradox is used to describe the unwantedrise in weight that occurs when HbA1c is controlled usingconventional therapy. We highlight facets ofpathophysiology, prevention, pharmacology, personcentred care, and epidemiology, which correspond to theconcept of KgA1c paradox. We suggest a novel index,KgA1c product [(BMI) x (HbA1c)], which can be used toevaluate efficacy of drugs, and assess metabolic control inpersons with diabetes,Keywords: Diabesity, diabetes, HbA1c, metabolicsyndrome, overweight, obesity Downloads Full Text Article Published 2024-06-28 How to Cite Sanjay Kalra, Suneet Verma, & Nitin Kapoor. (2024). The KgA1c Paradox: Widening the spectrum. Journal of the Pakistan Medical Association, 74(7), 1378–1379. https://doi.org/10.47391/JPMA.24-54 More Citation Formats ACM ACS APA ABNT Chicago Harvard IEEE MLA Turabian Vancouver Download Citation Endnote/Zotero/Mendeley (RIS) BibTeX Issue Vol. 74 No. 7 (2024): JULY Section BAROCRINOLOGY License Copyright (c) 2024 Journal of the Pakistan Medical Association This work is licensed under a Creative Commons Attribution 4.0 International License.