A 63-year-old woman has Type II diabetes mellitus, which is well-controlled. Her physical examination is positive for peripheral neuropathy in the feet and non-proliferative retinopathy. A urinalysis is positive for proteinuria. Which of the following treatments is most likely to attenuate the course of renal disease?
It is very likely that control of hypertension and excellent glucose control will slow the development and course of renal disease in Type II diabetes mellitus. ACE inhibitors seem to decrease proteinuria and slow progression of renal disease. As renal function deteriorates, limiting dietary protein intake can also be beneficial. Calcium channel blockers have no extra effect beyond their antihypertensive effect.
calcium channel blockers
ACE inhibitors
hepatic hydroxymethylglutaryl-coenzyme A (HMG-CoA) inhibitors
dietary carbohydrate restriction
Kidney