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A 46-year-old member asked:

I have uncontrolled dm2 (hga1c is 8.0) but no kidney abnormality seen on bloodworkup nor do i have any htn. do i still need to take acei for kidneys?

2 doctor answers6 doctors weighed in
Dr. Michio Abe
Internal Medicine 26 years experience
Uncontrolled DM2: Acei may still be indicated for type 2 diabetics if you have microalbuminuria even if your kidney function is normal (egfr>90) on bloodworkup and your BP is normal (sbp<120, dbp<80).
Dr. Nirupama Vemuri
Nephrology and Dialysis 26 years experience
Yes: Uncontrolled diabetes is a silent killer and causes kidney problems. You need to request your pcp to order urine microalbumin to check for early stages of kidney problems. Irrespective of blood work acei/arb are shown to cause modulation in glomerular pressure(inside kidney) and help with renal protection.Goal in diabetic patients is <130/80. If there is protein goal is <120/70.

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Last updated Dec 7, 2015

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