Question

A 28-year-old woman with type 1 diabetes is planning pregnancy. Her HbA1c is 7.8% (62 mmol/mol). She is taking an ACE inhibitor and a statin for microalbuminuria and dyslipidaemia. According to Australian pre-conception diabetes care recommendations, which is the most appropriate advice?

Accepted Answer

Stop ACE inhibitor and statin before conception and optimise glycaemic control

Answer

Continue ACE inhibitor and statin until pregnancy is confirmed

Answer

Stop ACE inhibitor but continue statin

Answer

No medication changes are required as doses are low

Answer

Delay pregnancy until she has had diabetes for at least 10 years

Practice question

A 28-year-old woman with type 1 diabetes is planning pregnancy. Her HbA1c is 7.8% (62 mmol/mol). She is taking an ACE inhibitor and a statin for microalbuminuria and dyslipidaemia. According to Australian pre-conception diabetes care recommendations, which is the most appropriate advice?