It is thought that AT II receptor antagonists will have a similar effect, and these are often used in those unable to tolerate ACE inhibitors. A modest reduction in dietary protein intake may be of benefit in those who already have kidney impairment. However this is a controversial and uncertain area. Although the role of lipid-lowering is unclear in the course of diabetic nephropathy, this has been clearly shown to be of benefit in the prevention of progressive heart disease and possibly strokes. It is imperative that you stop smoking, not only for the sake of your kidneys, but also for the sake of your heart and brain blood vessels.
Smokers die earlier than non-smokers.
The American Diabetic Association homepage . Another specific site on diabetes and kidney disease . This is an excellent American diabetic information page with good links to kidney disease and diabetes. National Institute of Diabetes and Digestive and Kidney disease. This is yet another good American site with useful links and information Data supporting these recommendations comes from the following detailed medical publications.