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The World Health Organization (WHO) is preparing updated recommendations on the screening, diagnosis and classification of hyperglycaemia during pregnancy, following the emergence of new evidence on how elevated blood glucose should be identified and classified. The updated guidance is intended to support better maternal and newborn health outcomes across different healthcare settings. Hyperglycaemia during pregnancy affects approximately one in six live births, or around 21 million births each year, according to WHO. It can include diabetes that was present before pregnancy, diabetes first diagnosed during pregnancy, and gestational diabetes mellitus (GDM), which develops during pregnancy. Distinguishing between these conditions can be difficult, particularly in settings where pre-existing diabetes may remain undiagnosed.

Elevated blood glucose during pregnancy is associated with several adverse maternal and perinatal outcomes. WHO identifies risks including hypertensive disorders of pregnancy, stillbirth, macrosomia, neonatal hypoglycaemia and birth injury, along with other longer-term complications. Early identification and appropriate classification can therefore help guide suitable care. WHO's current recommendations on the diagnostic criteria and classification of hyperglycaemia first detected during pregnancy date from 2013. Since then, additional evidence has emerged on screening, diagnosis and classification, prompting WHO to review the existing recommendations.

The updated work forms part of WHO's broader efforts to improve care for women with diabetes during pregnancy. WHO published its first recommendations specifically addressing the care of women with diabetes during pregnancy in November 2025, guiding healthcare professionals and health systems.

WHO noted that the updated recommendations need to be applicable across different resource settings, particularly because the global burden of diabetes is substantial and most cases occur in low- and middle-income countries. Clearer approaches to screening and diagnosis could support healthcare providers in identifying hyperglycaemia and distinguishing different forms of diabetes during pregnancy. The planned recommendations are expected to address the evidence surrounding screening, diagnosis and classification of hyperglycaemia during pregnancy. WHO's current guidelines planning information lists recommendations on screening and management of hyperglycaemia during pregnancy, postnatal and interpregnancy periods among its planned guideline work. For obstetricians, endocrinologists, midwives, nurses, dietitians, diabetes educators and maternal-health programme managers, updated diagnostic guidance could provide a revised evidence base for identifying hyperglycaemia during pregnancy. WHO's 2025 diabetes-in-pregnancy guideline identifies these groups among the intended users of its recommendations.

The update also highlights the importance of strengthening early detection and classification within routine maternal healthcare. However, the specific revised diagnostic thresholds and recommendations have not yet been issued in the WHO update; the current announcement concerns the process of reviewing and updating the recommendations.

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