Concrete structures are widely used in construction because of their many advantages, including high corrosion resistance, durability, low operating costs, and the ability to design any geometry. However, they also have some disadvantages, such as their high dead weight and susceptibility to cracking. Although this material is widely used globally, new types of concrete, such as high-strength or lightweight aggregate-based, are still being developed. This requires constant control and testing in both laboratory and field conditions. Concrete is a heterogeneous material due to the influence of aggregate grains and local discontinuities, voids or pores. Given these characteristics, it is clear that most conventional diagnostic solutions, such as spot foil strain gauges or extensometers, are unable to accurately analyse these localised effects as they average local strains over the measurement base. In contrast, distributed fibre optic sensing (DFOS) enables strain readings to be taken with millimetre geometric resolution, significantly extending the structural assessment capability. The article describes research on standard concrete cylinders equipped with surface-mounted optical fibres for simultaneous measurements of distributed strains in both the longitudinal direction (compression zone) and circumference direction (tension zone). The novelty of the proposed approach, apart from the way of arranging the sensing fibres on the specimens, lies mainly in the new diagnostic approach that allow (1) the evaluation of the homogeneity of the concrete using statistical parameters, (2) the identification of microcracking and (3) the identification of near-to-failure state based on Poisson’s ratio analysis. Twenty cylindrical specimens were laboratory tested using reference techniques to validate the performance of the DFOS-based system and to provide data for statistical evaluation. The results indicate the possibility of detecting the approaching damage even without knowledge of the material properties of the specimen or the initial stress level at the moment of starting the measurements. The discussion also covered future research directions and potential improvements.