I recently went to a cardiologist for screening due to relatives having cardiomyopathy and due to palpitations- everything is fine with my heart. He wants me to take an ace inhibitor to prevent kidney damage and gave me two studies to read that back up that it will prevent this. Is anyone else doing this? I'm not sure what to do. I have no sign of kidney damage at this point. I plan to ask my endo about it in March.

What do you all think?

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I had the same recommendation and have taken Lisinopril for a while. Also for borderline hypertension, I was up to 150/100 when I was 275 lbs and was concerned but, since I've lost weight and started running am more like 120/70ish these days but am keeping up the Lisinopril in case it helps my kidneys. I take 2 if I take sudafed when I'm sick, since sudafed seems to crank BP up.

Lisinopril turned me into a slug. I thought I was going to die. My BP was low to start with, I had no kidney damage, and I had autonomic neuropathy, but I was still prescribed Lisinopril. Even at 1/4 of a pill, it would take 3 hours in the morning, and lots of coffee, before I could actually stand up. I don't doubt that it helps some people, it just toasts me that some doctors automatically prescribe it to everyone who has diabetes.

Many years ago my dr I had since I was a teen put me on a drug in the 80s that was to protect my kidneys, what it was I don't remember. There have been those type of drugs for years.

I'd definitely try it. 20% of patients taking lisinopril will develop a chronic cough, which I did. So I was put on a drug in the class of "angiotension receptor blockers" whih are nearly as effective. I have taken it for over 10 years.

Kathy,

Did you have signs of kidney problems when you started on these meds? Did it help? I'm worried about them causing other problems in the long run because we never know how each person will react to them.

Yes and yes.

thanks Kathy :)

I take Benazepril. At first I said no because I take enough meds already and don't want to take things "just in case", but then decided it couldn't hurt. I don't have any side effects from it.

Were the studies related to Type 1 or Type 2? Unfortunately there are not a lot (or any) studies relating to well-controlled Type 1's.

I tried Lisinopril for a while just to make my endo happy. I was cutting the smallest pill in half and still seeing blood pressures of 70/45. I was getting dizzy every time I leaned over. Then I got the cough followed by plugged sinuses. With my endo's blessing, I ended that experiment. I've had Type 1 for 36 years with no measurable kidney damage. If I get high blood pressure, I'll happily go on another class of blood pressure meds. Until then I'll do my best to keep my blood sugars in as good a range as I can manage.

The decision to take "preventative" meds is something that you along with your doctor's advice need to consider. My decision is not to take them, but many people take them and are happy with their decision.

Let us know what you decide.

I'm not sure, I haven't looked for them yet- I hope I can find the paper I wrote them down on. I will let you know.

Here is a good synopsis of the general literature. The studies come down on both sides of the question and the answer is of course, what are you comfortable with?

http://www.medscape.com/viewarticle/504039_2

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