Lg Cwd
icon-nav-help
Need Help

Submit your question to our team of health care professionals.

icon-nav-current-questions
Current Question

See what's on the mind of the community right now.

icon-conf-speakers-at-a-glance
Meet the Team

Learn more about our world-renowned team.

icon-nav-archives
DTeam Archives

Review the entire archive according to the date it was posted.

icon-question-mark
April 17, 2000

Complications

Question from Kentucky, USA:

To protect the kidneys, would physicians put a child on ACE inhibitors before signs of problems? Why wait until problems begin? My son is 12, type 1 since age 9.

Answer:

I measure microalbumin. There are several techniques: albumin to creatinine ratio; spot urine for microalbumin or timed urine for microalbumin. I do spots in the clinic. As long as they are essentially zero, all is okay. Any rise is quanitated with a timed urine. Any pathology is treated with ACE inhibitors. I do treat very early with the very least sign of any change in the kidney.

LD