Gestational diabetes & diabetes in pregnancy

Real‐world evaluation of the National Health Service (NHS) testing criteria for glucokinase hyperglycaemia in pregnancy

Diabet MedPublished Real-world evaluation of the NHS testing criteria

Authors' conclusion

Current criteria may not effectively identify a high-risk cohort of individuals to test, given the prevalence of GCK-MODY in those tested, leading to over-testing. HbA1c may prove a useful additional screening parameter. Further studies are needed to improve the criteria's utility across different ethnicities.

Study context

Population
Women with gestational diabetes that met criteria for Glucokinase-Maturity Onset Diabetes of the Young (GCK-MODY) genetic testing, multi-ethnic population
Exposure
Patient characteristics in those positive and negative for GCK-MODY
Outcome
Cases of GCK-MODY found when testing using NHS criteria
Methodological detailsmulti-ethnic cohort
  • Multi-ethnic cohort

Main finding

As reported in the abstract

Found using NHS criteria

0.14%

Expected

0.9%

Observational data: associations, not effects.

Further findings

OutcomeP value
HbA1cHigher with GCK-MODY positiveP < 0.001
2-h glucose incrementNo differenceP = 0.829

Original publication

Real‐world evaluation of the NHS testing criteria for glucokinase hyperglycaemia in pregnancy. Diabet Med. Published 13 November 2026. doi:10.1111/dme.70531

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