Limiting salt intake is fundamental in getting good control of blood pressure. Most people with Alport syndrome will require medication for high blood pressure and it is likely better to start this as early as practicable and to strive for blood pressure as low as tolerable. As time goes by, additional antihypertensive medications will likely be needed. Diuretics are often a good choice to add to ACE-inhibitors. Moderate restriction of dietary protein intake will be needed as renal failure advances and there is no apparent harm in starting this early.
Dietary preferences are hard to change and it is sensible to make adjustments slowly.
Although there have been some attempts of gene therapy in human disease, Alport syndrome is a more difficult problem than diseases of the blood or the liver and it will be some time before gene therapy becomes practicable in humans.