Mathiesen ER, Hommel E, Smidt UM, Parving H-H
Efficacy of captopril in normotensive diabetic patients with microalbuminuria - 8 years follow up
Am Soc Nephrol
J Am Soc Nephrol (abstract) (Nov) 6:452 1995

The efficacy of ACE inhibition in preventing diabetic nephropathy (albuminuria > 300 mg/24h) was investigated in a prospective randomized study of 44 normotensive patients with IDDM and persistent microalbuminuria (albumin excretion rate 30-300 mg/24h). 21 patients recieved captopril + thiazide; 23 patients were untreated. BP, albumin excretion rate, and GFR were followed for 8 yrs. 40% of controls and 10% of treated patients developed nephropathy. ACE inhibitors postpone the development of diabetic nephropathy in normotensive patients with IDDM and persistent microalbuminuria. (Leehey)

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Am Soc Nephrol
Proteinuria/Hematuria : Diabetes
CRF by problem area : Progression