ACE inhibitor or ARB: In general, ace inhibitors (e.g. Lisinopril) or arbs (e.g. Diovan) are the blood pressure medications given to anyone at risk for kidney disease. Though they are still under investigation for use in patients with diabetic nephropathy, the studies available seem to indicate that they are useful in both type i & type ii diabetics.
Answered 8/30/2014
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ACE or ARB: There are two types of medicines that are specifically made to treat hbp in a pateint with diabetic nephorpathy. They are called either an ace inhibitor (any medicine ending in an "pril" like lisionpril or accupril) or an arb like cozaar, Benicar or diovan (valsartan). These two types of medicine help control BP and slow protein spill in a patient with diabetic nephropathy.
Answered 4/4/2016
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BP med in DM CKD: Controlling hypertension is essential in this context; as others have said, ACEI or ARB are first choices. I like to start with one of these and then titrate the dose every 4-6 weeks according to BP level, aiming for BP 125/75, and according to urinary protein or albumin; I aim to drop the urinary protein or albumin down close to NORMAL for the parameter; sometimes, this requires time
Answered 8/30/2014
3.8k views
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