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Practice trajectory
-26%
JD
Dr John Dolittle
Ashford Vale Medical Group
Patients/Sofia Ramirez · SH-10394
← Practice Horizon

Sofia Ramirez

26F · SH-10394APP
Pregnancy (GDM trajectory, 24w) · Postgraduate student
Next consult
Sat 18 Apr, 11:30
Gray zone· p 0.51Trending worse
Trajectory headline
Wearable post-prandial pattern suggests GDM ahead of formal OGTT. Dietary and early monitoring intervention now.
Model priority
Gray zone · pattern emerging
Biggest single change you could makeLifestyle programme → −28% (Post-prandial glucose)
Patient Context Card · AIME

Brief

Trajectory-grounded orientation for today's appointment.

Pregnancy at 24 weeks. Wearable glucose pattern is ahead of the OGTT — act now.

Trajectory narrative

Sofia is 24 weeks pregnant, referred back to primary care for an interim glucose discussion. Her continuous glucose pattern shows post-meal peaks above 8.5 mmol/L on multiple days. Formal OGTT is booked in 7 days but the model suggests the diagnostic outcome is likely GDM — early dietary intervention would be worthwhile today.

Active concerns
  • Post-prandial glucose >8.5 on 6/14 days (wearable)
  • BMI 28.5 pre-pregnancy
  • Family Hx T2DM (mother)
  • OGTT booked in 7 days
Suggested consultation focus
  • Dietary advice now — don't wait for OGTT
  • Confirm OGTT booking
  • Continuous glucose monitoring resource given
  • Midwife communication — shared plan
Supporting record context
Current medications
Prenatal vitamins · Aspirin 75mg (low-dose, obstetric guidance)
Allergies
NKDA
Obstetric
Primigravida · 24+2 weeks · midwife-led care to date
For demonstration purposes. Not a diagnostic tool.
Horizon-1 · Syndrome activation

Latent clinical states

Output of the dynamic hypergraph. Direction = trajectory on that axis.

Gestational diabetes (emerging)
0.56
For demonstration purposes. Not a diagnostic tool.