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How effective are ACE inhibitors for managing diabetes?

Donna Hill Howes, RN
Family Practitioner

People with diabetes should have a blood pressure goal of 140/90 or less. ARBs (angiotensin receptor blockers) and ACE inhibitors (angiotensin-converting-enzyme inhibitors) are the preferred medications for high blood pressure because they reduce the risk of cardiovascular disease as well as the progress of kidney disease. People with diabetes and protein in their urine can benefit from taking ARBs and ACE inhibitors; these drugs are recommended for people with a urinary albumin excretion rate of 30 mg per day or above.

ACE inhibitors and ARBs are not recommended for people with normal blood pressure and kidney function measures. You should not take both an ACE inhibitor and an ARB.

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