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July 14, 2000


Question from Benton, Kentucky, USA:

My understanding is that most doctors begin ACE inhibitor in people with Type 2 diabetes when they are first diagnosed because they have probably had diabetes for some length of time. In children, why don't doctors start ACE inhibitors in the early years to protect the kidneys, instead of waiting until there is a problem (microalbumin in urine)? Why wait until the damage is beginning?


Because, there is at present no evidence to suggest that this is necessary, safe or sensible. In addition, there is a risk of ACE inhibitors causing birth defects so doctors are very careful about prescribing them for young women.