6 doctors weighed in:
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?
6 doctors weighed in

Dr. Nirupama Vemuri
Internal Medicine - Nephrology & Dialysis
4 doctors agree
In brief: 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.

In brief: 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.
Dr. Nirupama Vemuri
Dr. Nirupama Vemuri
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Dr. Michio Abe
Internal Medicine
1 doctor agrees
In brief: 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).

In brief: 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. Michio Abe
Dr. Michio Abe
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