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rs7756992 (CDKAL1)

What you carry at this position in your DNA and what research says about it.

Type 2 Diabetes Risk: 10/10 evidence, 54 publications.

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Sample genotype (not yours): A/A

Typical Risk of Type 2 Diabetes

A baseline genetic profile at this position is associated with typical insulin secretion and standard risk for type 2 diabetes. It represents the most common sequence for healthy glucose regulation.

What this genotype means: Typical insulin secretion; Baseline risk of type 2 diabetes.

Sample genotype (not yours): A/G

Increased Risk of Type 2 Diabetes

Presence of a single G allele is associated with a moderately increased risk of developing type 2 diabetes. This genetic change is linked to a slight reduction in insulin secretion after meals.

What this genotype means: Slightly reduced insulin secretion; Moderately increased risk of type 2 diabetes.

Sample genotype (not yours): G/G

Presence of two G alleles is associated with an increased risk of type 2 diabetes and slightly higher blood pressure. It may also correlate with a more favorable response to certain diabetes medications.

What this genotype means: Reduced insulin secretion; Increased risk of type 2 diabetes; Slightly higher blood pressure.

About CDKAL1

Gene function and biological role

Gene Function: The CDKAL1 gene encodes a protein that plays a critical role in insulin secretion and pancreatic beta-cell function [1]. It is involved in the chemical modification of transfer RNA, which is essential for the accurate translation and folding of proinsulin [2]. When CDKAL1 function is compromised, beta-cells produce less insulin in response to glucose, leading to higher blood sugar levels [1] [3]. This gene is one of the most well-established genetic loci associated with susceptibility to type 2 diabetes across diverse global populations [1] [4].

Variant Impact: The rs7756992 variant is located within an intron of the CDKAL1 gene. Although it does not directly alter the amino acid sequence of the protein, it acts as a regulatory marker that influences gene expression [1]. The G allele of this variant is strongly associated with reduced first-phase insulin secretion [2]. This reduction in insulin output impairs the body's ability to regulate glucose levels, significantly increasing the risk of developing type 2 diabetes [1] [3]. It is also linked to other metabolic and cardiovascular measurements, including blood pressure [5].

Key Insight: The G allele of this variant not only increases type 2 diabetes risk but is also linked to slightly higher blood pressure and lower infant birth weight.

Location: CDKAL1. Chromosome 6 · 6p22.3 · 20.7 Mb

Genotype Frequencies

Estimated prevalence by population

Global 41.1%; European 52.7%; African 19.1%; East Asian 27.6%; South Asian 52.8%; Americas 47.5%; Ashkenazi 46.8%; Finnish 42.3%; Middle Eastern 47.7%; Amish 40.5%.

Estimated AA genotype frequency.

Global 43.6%; European 39.8%; African 49.2%; East Asian 49.9%; South Asian 39.7%; Americas 42.8%; Ashkenazi 43.2%; Finnish 45.5%; Middle Eastern 42.7%; Amish 46.3%.

Estimated AG genotype frequency.

Global 15.3%; European 7.5%; African 31.7%; East Asian 22.5%; South Asian 7.5%; Americas 9.6%; Ashkenazi 10.0%; Finnish 12.2%; Middle Eastern 9.6%; Amish 13.2%.

Estimated GG genotype frequency.

Associated Traits

Showing effects for A/A genotype

Cardiovascular & Metabolic

Diabetes & Glycemic Traits

Type 2 Diabetes. Evidence: 10/10. Source: PMID 17460697. Typical Risk.

Insulin Secretion. Evidence: 4/10. Source: PMID 28490609. Typical.

Hypertension

Blood Pressure. Evidence: 6/10. Source: PMID 33230300. Typical.

Endocrine & Reproductive

Pregnancy & Birth Complications

Gestational Diabetes. Evidence: 6/10. Source: PMID 40069456. Typical Risk.

Birth Weight. Evidence: 6/10. Source: PMID 31681408. Typical.

Pharmacogenomics

Diabetes Medication Response

DPP-4 Inhibitor Response. Evidence: 5/10. Source: PMID 27139004. Typical Response.

Showing effects for A/G genotype

Type 2 Diabetes. Evidence: 10/10. Source: PMID 17460697. ~1.3x Increased Risk.

Insulin Secretion. Evidence: 4/10. Source: PMID 28490609. Slightly Reduced.

Blood Pressure. Evidence: 6/10. Source: PMID 33230300. Slightly Elevated.

Gestational Diabetes. Evidence: 6/10. Source: PMID 40069456. Increased Risk.

Birth Weight. Evidence: 6/10. Source: PMID 31681408. Slightly Lower.

Showing effects for G/G genotype

DPP-4 Inhibitor Response. Evidence: 5/10. Source: PMID 27139004. Stronger Response.

What AA Genotype Means

What this genotype means for the people who carry it

Sample genotype: AA (Homozygous)

Two copies of the A allele represent the standard or baseline genetic profile at this position [1]. Individuals with this genotype typically exhibit normal first-phase insulin secretion in response to glucose [2]. This helps maintain healthy blood sugar levels and lowers the likelihood of developing type 2 diabetes compared to G allele carriers [1] [3]. Additionally, this genotype is associated with typical blood pressure levels and standard infant birth weights [4] [5]. While genetics play a role, overall metabolic health remains heavily influenced by lifestyle factors such as diet and exercise [6]. This baseline profile is common across many global populations.

Typical insulin secretion; Baseline risk of type 2 diabetes.

What AG Genotype Means

Sample genotype: AG (Heterozygous)

One copy of the G allele is linked to a roughly 1.3-fold increase in the risk of developing type 2 diabetes [1]. This genetic variant is associated with impaired first-phase insulin secretion from pancreatic beta-cells [2]. Over time, the reduced ability to quickly release insulin in response to glucose can lead to elevated blood sugar levels [3]. This genotype is also associated with slightly higher systolic and diastolic blood pressure [4]. Pregnant individuals with this genotype may also have a slightly higher risk of gestational diabetes [5].

Slightly reduced insulin secretion; Moderately increased risk of type 2 diabetes.

What GG Genotype Means

Sample genotype: GG (Homozygous)

Two copies of the G allele are associated with an increased risk of developing type 2 diabetes, estimated at around 1.3-fold [1]. This genotype is linked to reduced insulin secretion from pancreatic beta-cells, making it harder for the body to manage blood sugar spikes [2]. It is also associated with slightly higher systolic and diastolic blood pressure, which can contribute to cardiovascular strain [3]. Pregnant individuals carrying this genotype face an elevated risk of gestational diabetes [4]. Interestingly, some research suggests that individuals with the GG genotype may show a better therapeutic response to dipeptidyl peptidase 4 (DPP-4) inhibitors [5].

Reduced insulin secretion; Increased risk of type 2 diabetes; Slightly higher blood pressure.

Related Variants

Variants with shared genetic architecture

rs7754840 · CDKAL1 Gene · Chr 6 · Type 2 Diabetes Risk

rs9368222 · CDKAL1 Gene · Chr 6 · Type 2 Diabetes Risk

rs10440833 · CDKAL1 Gene · Chr 6 · Type 2 Diabetes Risk

Sources

A variant in CDKAL1 influences insulin response and risk of type 2 diabetes.

A Genome-Wide Association Study of IVGTT-Based Measures of First-Phase Insulin Secretion Refines the Underlying Physiology of Type 2 Diabetes Variants.

Discovery of 318 new risk loci for type 2 diabetes and related vascular outcomes among 1.4 million participants in a multi-ancestry meta-analysis.

Impact of KCNQ1, CDKN2A/2B, CDKAL1, HHEX, MTNR1B, SLC30A8, TCF7L2, and UBE2E2 on risk of developing type 2 diabetes in Thai population.

Discovery of rare variants associated with blood pressure regulation through meta-analysis of 1.3 million individuals.

Three Novel Loci for Infant Head Circumference Identified by a Joint Association Analysis.

Improvements in glucose homeostasis in response to regular exercise are influenced by the PPARG Pro12Ala variant: results from the HERITAGE Family Study.

Impact of common genetic determinants of Hemoglobin A1c on type 2 diabetes risk and diagnosis in ancestrally diverse populations: A transethnic genome-wide meta-analysis.

Atlas of genetic and phenotypic associations across 42 female reproductive health diagnoses.

A Common Susceptibility Gene for Type 2 Diabetes Is Associated with Drug Response to a DPP-4 Inhibitor: Pharmacogenomic Cohort in Okinawa Japan.

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Content updated August 2026.

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