Gestational diabetes & diabetes in pregnancy

Clinical readiness of first-trimester gestational diabetes prediction: From risk score to care pathway

Diabetes Res Clin PractPublished critical review

Authors' conclusion

First-trimester scores should not replace recommended diagnostic testing. Clinical adoption requires local validation, a prespecified beneficial action, evaluation of costs and harms, and comparative trials measuring maternal and neonatal outcomes.

Study context

Outcome
Routine clinical and glycemic predictors of GDM
Methodological detailsnon-systematic searches
  • Non-systematic searches

Main finding

As reported in the abstract

  • Routine clinical and glycemic predictors are feasible, but transportability, calibration, and strategy-level benefit are not established consistently

Further findings

RESPECT 2 implementation

RESPECT 2 demonstrated implementation feasibility

Gestational diabetes mellitus (GDM) in a trial of nutrition support in model-selected women

Model-selected women in the trial
519
Nutrition support in model-selected women did not significantly reduce GDM

TOBOGM

TOBOGM investigated treatment after early biochemical diagnosis, not care guided by a risk score

Direct trials of the complete prediction-guided strategy

Direct trials of the complete prediction-guided strategy remain limited

Original publication

Clinical readiness of first-trimester gestational diabetes prediction: From risk score to care pathway. Diabetes Res Clin Pract. Published 13 November 2026. doi:10.1016/j.diabres.2026.113667

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