I made an appointment with a nephrologist who thinks she should be put on an ACE inhibitor. For the first two weeks, she wanted her to take half the dose of 5 milligrams, and then, after the two weeks, she wanted blood work done and to continue with the full dose or 5 milligrams. I am very concerned and have many questions I would like answered before starting her on this medication. The test you ask about is called microalbumin It can be done on a random urine sample as well as on a timed overnight urine sample or a full 24 hour urine sample. This test is an extremely sensitive way to detect such leakage years before major kidney damage occurs.
Some people are more sensitive to such damage.
Smoking probably makes this worse or occur earlier than otherwise. Hypertension does the same as do some other medications. High protein intake is also associated with more kidney problems at an earlier age in some studies. ACE inhibitors . You should feel comfortable discussing this, not only with your diabetes team, but also with the diabetes kidney specialists you are seeing so that they can answer all your questions.