Hi Hazey,
I'm sorry that your A1c was higher than expected. That probably didn't help your blood pressure, from experience, waiting 'calmly' for the next blood pressure reading adds to the stress and sends it even higher.
Ramipril, it is an ACE inhibitor which as well as being a BP medication is also thought to help protect the kidneys. It is often prescribed for that reason, even when BP is normal. One problem is that sometimes people develop a cough. If that happens the docs can change it for another, similar drug.
I hope amongst this, you had time to discuss your hypos, and insulin dosage.
Good luck with the eyes