Priya Ramanathan
Moderate · 4231F · DOB 21 Nov 1994 · MRN RN-77410
Type 1 diabetes for 18 years, microalbuminuria, euthyroid on levothyroxine, actively planning pregnancy. Ramipril must come off before conception.
Allergies: None known
For full active treatment
ACE inhibitor while planning pregnancy
Ramipril is teratogenic in the second and third trimesters and should be stopped before conception.
No high-dose folic acid
T1DM pre-conception standard is 5 mg daily.
TSH above pre-conception target
Aim TSH <2.5 mU/L before conception.
Clinical parameters
HbA1c
52mmol/mol
Ref <48 pre-conception
Urine ACR
8.4mg/mmol
Ref <3
TSH
2.8mU/L
Ref <2.5 if TTC
Organ risk
Conditions
Type 1 diabetes
Pump naïve · MDI
Diabetic microalbuminuria
Hypothyroidism
Planning pregnancy
Care team
Dr Amara Okonkwo
Clinical pharmacology
Dr Niamh Walsh
Diabetes & endocrinology
Helen Cho
Diabetes specialist midwife
Next encounter
Pre-conception pharmacology
Tue 22 Sep · 11:10
Riverside · Room 5 · Dr Okonkwo