hypertension in type I diabetics is often an indication of diabetic nephropathy
in type I diabetics blood pressure reduction and ACE inhibitors slow the rate of decline of renal function in overt diabetic nephropathy; also they delay the progression from microalbuminuric phase to overt nephropathy
ACE inhibition should be titrated to the maximum dose tolerated and recommended
the target blood pressure is described in the menu item
combination therapy is invariably required to achieve blood pressure targets
even in the presence of a normal blood pressure Type I diabetics with persistent microalbuminuria or proteinuria may also benefit from ACE-inhibition titrated to the recommended maximum dose
in the presence of frank proteinuria, in addition to BP control with ACE inhibitors; some suggest protein intake should be reduced to <0.6 g/kg body weight/day
measures should also be taken to alter other risk factors such as smoking, obesity and dyslipidaemia
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