Gestational diabetes & diabetes in pregnancy

Maternal and Infant Outcomes in Glucokinase-maturity-onset Diabetes of the Young (GCK-MODY) Complicated by Pregnancy

J Clin Endocrinol MetabPublished Systematic review and meta-analysis of observational studies

Pooled result · Congenital malformationsResult — go to the resultOdds ratio 0.56 95% CI 0.07–4.51

Authors' conclusion

The percentage of congenital malformations was 2.4% in GCK-MODY pregnant women's offspring, and newborns with the GCK mutation have lower birth complication than non-GCK mutation carriers.

Study context

Population
GCK-MODY mothers and their offspring in observational studies reporting ≥1 pregnancy outcome
Participants
370 mothers8 studies
Comparison
GCK-affected vs GCK-unaffected offspring of GCK-MODY mothers
  • GCK+n = 238
  • GCK-n = 132reference
Outcome
Prevalence of congenital anomaly in newborns of GCK-MODY mothers
Methodological detailsNOS risk-of-bias assessment, Search of PubMed, EMBASE and Cochrane to July 16, 2022, 5 studies high quality, 3 medium quality (NOS)
  • NOS risk-of-bias assessment
  • Search of PubMed, EMBASE and Cochrane to July 16, 2022
  • 5 studies high quality, 3 medium quality (NOS)

Pooled result

Congenital malformations

Odds ratio

0.56

95% CI 0.07–4.51

P = 0.59

GCK+vs GCK-
OR 0.56 (95% CI 0.07–4.51); P = 0.59

As reported in the abstract

Congenital malformations in offspring of GCK-MODY mothers
2.4%

Further pooled results

Macrosomia/LGA, neonatal hypoglycemia, combined adverse neonatal outcome

Risk significantly lower in offspring with the GCK mutation vs non-carriers

Original publication

Maternal and Infant Outcomes in GCK-MODY Complicated by Pregnancy. J Clin Endocrinol Metab. Published 3 April 2023. doi:10.1210/clinem/dgad188

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