RT journal article T1 Integrated modeling of labile and glycated hemoglobin with glucose for enhanced diabetes detection and short-term monitoring A1 Romero Rosales, José Antonio A1 Aragonés, David G. A1 Escribano Serrano, José A1 González Borrachero, Marisa A1 Michán Doña, Alfredo A1 Macías López, Francisco J. A1 Santos Mata, María Ángeles A1 Naranjo Jiménez, Inmaculada A1 Casamitjana Zamora, María Jesús A1 Serrano, Hélia A1 Belmonte Beitia, Juan A1 Rosa Durán, María A1 Calvo, Gabriel F. A2 Matemáticas AB Metabolic biomarkers, particularly glycated hemoglobin and fasting plasma glucose, are pivotal in the diagnosis and control of diabetes mellitus. Despite their importance, they exhibit limitations in assessing short-term glucose variations. In this study, we propose labile hemoglobin as an additional biomarker, providing insightful perspectives into these fluctuations. By utilizing datasets from 40,652 retrospective general participants and conducting glucose tolerance tests on 60 prospective pediatric subjects, we explored the relationship between plasma glucose and labile hemoglobin. A mathematical model was developed to encapsulate short-term glucose kinetics in the pediatric group. Applying dimensionality reduction techniques, we successfully identified participant subclusters, facilitating the differentiation between diabetic and non-diabetic individuals. Intriguingly, by integrating labile hemoglobin measurements with plasma glucose values, we were able to predict the likelihood of diabetes in pediatric subjects, underscoring the potential of labile hemoglobin as a significant glycemic biomarker for diabetes research. PB Elsevier Inc. SN 2589-0042 YR 2024 FD 2024 LK http://hdl.handle.net/10498/35572 UL http://hdl.handle.net/10498/35572 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 10-may-2026