In people who already had microalbuminuria, the risk of progressing to proteinuria was about half in people on tight control. Other studies have suggested that tight control can reverse microalbuminuria. Treatment at this stage can only delay the inevitable. One important treatment is tight blood glucose control. Another important treatment is tight control of blood pressure.
Blood pressure has a dramatic effect on the rate at which the disease progresses.
Even a mild rise in blood pressure can quickly make the disease worsen. Three ways to bring blood pressure down are losing weight, eating less salt, and avoiding alcohol and tobacco. When these methods fail, certain medicines may be able to lower blood pressure. There are several kinds of blood pressure drugs. Not all are equally good for people with diabetes to take.