Gestational diabetes & diabetes in pregnancy

Shortcut to the needle in the haystack? Screening for maturity onset diabetes of the young in a population of women with gestational diabetes

Diabet MedPublished Cross-sectional screening study

Authors' conclusion

The current Danish GDM screening guidelines do not apply with recommending the use of pre-pregnancy BMI <25 kg/m2 and fasting glucose ≥5.5 mmol/L as criteria for identifying women with GCK-MODY among women with GDM in the Danish population.

Study context

Population
Women diagnosed with GDM in the Central Denmark Region, April 2019–December 2022; screening offered to those with pre-pregnancy body mass index (BMI) <25 kg/m² and fasting glucose ≥5.5 mmol/L34 screened
Participants
1,270 women
Outcome
Identification of GCK-MODY (and other MODY subtypes; 17 known genetic variants) among women with GDM meeting the combined criteria
Methodological detailssingle-region, genetic screening by Next Generation Sequencing
  • Single-region
  • Genetic screening by Next Generation Sequencing

Main finding

As reported in the abstract

MODY identified by screening

Met MODY screening criteria

46

Offered MODY screening

41

Participated in screening

34

Identified with MODY (MODY 8-CEL variant)

1

Observational data: associations, not effects.

Original publication

Shortcut to the needle in the haystack? Screening for maturity onset diabetes of the young in a population of women with gestational diabetes. Diabet Med. Published 7 March 2025. doi:10.1111/dme.70021

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