Type 2 & other diabetes

Impact of Genetic Testing in Endocrinology Practice: A Single-Center Experience Focused on Lipid and Monogenic Diabetes Disorders

Endocr PractPublished Retrospective descriptive study

Authors' conclusion

In a real-world academic endocrine practice, genetic testing frequently provided clinically meaningful information and led to direct changes in management. Utility varied by condition and available therapies.

Study context

Population
Probands in an adult academic endocrinology practice who underwent clinically indicated genetic testing (NGS panels, targeted Sanger sequencing), mostly for familial hypercholesterolemia, hypertriglyceridemia or monogenic diabetes216 tested
Participants
187 probands
Outcome
Clinical utility of genetic testing
Methodological detailssingle-center
  • Single-center

Main finding

As reported in the abstract

Genetic test results considered clinically helpful

92.5%

95% CI 87.8–95.5

Specific new clinical action beyond baseline management

17.6%

95% CI 12.9–23.7

Observational data: associations, not effects.

Further findings

Genetic findings

Pathogenic or likely pathogenic variant and/or high polygenic risk score (≥75th percentile)
123 (65.8%)
Pathogenic or likely pathogenic variant
24.6%
High polygenic risk score (≥75th percentile)
46.5%

Indication for testing

Familial hypercholesterolemia
48.1%
Hypertriglyceridemia
35.3%
Monogenic diabetes
21.9%

Original publication

Impact of Genetic Testing in Endocrinology Practice: A Single-Center Experience Focused on Lipid and Monogenic Diabetes Disorders. Endocr Pract. Published 9 April 2026. doi:10.1016/j.eprac.2026.04.005

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