2018, Number 4
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Rev Clin Esc Med 2018; 8 (4)
Proteccion renal con ARA II e IECA en pacientes diabéticos Normotensos-Normoalbuminuricos
Ojeda CAO, Ojeda CAX, Ojeda CAE, Ojeda CPO, Sánchez LV
Language: Spanish
References: 33
Page: 1-9
PDF size: 433.39 Kb.
ABSTRACT
Of this retrospective study is to assess the effect of IECAS
or ARA II in patients with DMII normoalbuminuria,
normotensive renoprotective and to prevent future
complications irreversible, as its evolution in the
diabetic nephropathy and hypertension.
Material and
methods: A descriptive cross-sectional study was
conducted with 120 patients within the ages of 30 - 60
years of age having DM II from 2003 until the present
normotensive and normoalbuminuria of which 61 are
men and 59 women with multiple risk factors such as
obesity, overweight diseases history familycoronary, and sedentary mostly, 74 patients receive enalaril
(ACEI) 5mg and 56 patients candesartan (ARAII) 4mg
per night continuously from the time DM II is detected.
Results: The prevention of microalbuminuria, despite
its limitations, is clinically important in the attention
of our cases as a noble proposal, practical, achievable,
of low cost and with extraordinary results in primary
prevention in the present and future of the patients
with DM II. In addition because the IECAS AND ARAII
are used when the patient presents an irreversible
damage with an uncertain future.
Discussion : I share
my experience of more than 14 years using low doses
of enalapril 5mg or candesartan 4mg ingested by the
nights continuously in patients present with DMII
normoaalbuminuric of several years of evolution
of their disease without hypertension supported by
interventional studies on micro albuminuria such
as IRMA 2, IDNT, RENAAL GLOMERULAAR,
COOPERATE, AVOID,BENEDICT.
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