Was an ACE inhibitor a good choice for the treatment of diabetic nephropathy and hypertension?
Yes-In patients with diabetes and hypertension treatment with an ACE inhibitor is usually important especially if the patient has evidence of albumin or protein leakage from the kidney. In such people, who have a high risk of cardiovascular events, good evidence shows clinical and cost effectiveness.13 But-The use of ACE inhibitors is contraindicated in patients with severe bilateral renal artery stenosis (or severe stenosis of the artery supplying a single functioning kidney), and investigations should rule these out first in high risk patients. In all patients monitoring of serum urea, creatinine, and electrolytes is recommended shortly after initiating the drug (or increasing the dose). What other factors should the doctor think about in a similar situation? In this case there are many other factors that the doctor should be thinking about, including all of the current risk factors, such as diabetes and hypertension, as well as the possibility of other modifiable risk factors, such
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- Was an ACE inhibitor a good choice for the treatment of diabetic nephropathy and hypertension?
