I am on blood pressure mwds too, so perhaps Lisinopril would be the answer. It is probably thyt which caused the kidney damage, but my doctor, who has studied diabetes, says NOT to drop the Metformin. I know I can manage the diabetes medicine free and If I can get more weight off I might manage the blood pressure. I have lost about 35 pounds and could do with losing about as much again, but despite not going off my low carb diet, I've been stalled on weight loss for months. I suspect that what would suit me best, would probably be Byetta, but there's no chance of getting it. The system here in Britain, doesn't really allow patients much freedom to chose treatment.