A 30 years old American- African woman with type 1 DM and hypertension comes to the physician's office after obtaining a positive result from a home pregnancy test. She takes insulin and enalapril. She doesn't use tobacco, alcohol or illicit drugs. Her temp. 37.2 C , Blood pressure is 130/80 mm Hg, pulse 72/min. and respiration 14/min. Physical examination is unremarkable. Her BUN is 18 mg/dl and creatinine 1.4 mg/dl. A repeat β -HCG test performed in the office confirms pregnancy.
What is the most appropriate next step in management?
a) Stop enalapril and start furosemide.
b) Continue enalapril and add methyldopa.
c) Stop enalpril and start labetalol.
d) Stop enalapril and start losartan.
