The c.864-7T>G variant in the glucokinase gene, GCK, is a single nucleotide variant within intron 7 of NM_000162.5. This variant is absent from gnomAD v2.1.1 and v4.1 (PM2_Supporting). The computational splicing predictor SpliceAI gives a score of 0.98 for acceptor gain, predicting that the variant disrupts the acceptor site of intron 7 of GCK (PP3). PS1_Supporting cannot be applied, as the nucleotide change c.864-7T>A, which is predicted to disrupt the intron 7 splice acceptor site to a lesser extent than c.864-7T>G, has not met the criteria to be classified as pathogenic for monogenic diabetes by the ClinGen MDEP. While this variant was identified in an individual with a phenotype suggestive of GCK-hyperglycemia, PP4 is unable to be evaluated due to insufficient clinical information (internal lab contributors). In summary, c.864-7T>G meets the criteria to be classified as a variant of uncertain significance for monogenic diabetes. ACMG/AMP criteria applied, as specified by the ClinGen MDEP (specification version 2.0.0, approved 2/17/2025): PM2_Supporting, PP3.