4 doctors weighed in:

My 13y/o daughter has type1dm.We just saw nephrologist dr for proteinuria and wants to start her on lisinopril.Should more tests be done before?

4 doctors weighed in
Dr. Rex Mahnensmith
Internal Medicine
1 doctor agrees

In brief: Proteinuria

Protein in the urine of a type 1 diabetic person predicts progressive kidney problems with potential reduction in functions.
Standards for care include an ACE Inhibitor like lisinopril daily, dose titrated to achieve more than 50% reduction in proteinuria. She requires quarterly urine testing for protein:creatinine ratios, or albumin:creatinine ratios. Blood glucose control must be tight. A1c

In brief: Proteinuria

Protein in the urine of a type 1 diabetic person predicts progressive kidney problems with potential reduction in functions.
Standards for care include an ACE Inhibitor like lisinopril daily, dose titrated to achieve more than 50% reduction in proteinuria. She requires quarterly urine testing for protein:creatinine ratios, or albumin:creatinine ratios. Blood glucose control must be tight. A1c
Dr. Rex Mahnensmith
Dr. Rex Mahnensmith
Thank
Dr. Calvin Weisberger
Internal Medicine - Cardiology
1 doctor agrees

In brief: Lisinopril

Using Lisinopril to protect the kidneys in diabetes is standard therapy.
The proteinuria suggests her kidneys are involved and need protection.

In brief: Lisinopril

Using Lisinopril to protect the kidneys in diabetes is standard therapy.
The proteinuria suggests her kidneys are involved and need protection.
Dr. Calvin Weisberger
Dr. Calvin Weisberger
Thank
Get help from a real doctor now
Dr. Tonga Nfor
Board Certified, Internal Medicine - Cardiology
13 years in practice
508K people helped
Continue
111,000 doctors available
Read more answers from doctors