Ideally, therefore, all diabetic patients with renal or cardiovascular disease should be treated with ACE inhibitors or ARBs.
Should diabetics take ACE inhibitors?
7 The American Diabetes Association recommends ACE inhibitors or ARBs for nonpregnant patients with diabetes and microalbuminuria, but it makes no specific recommendations for blood pressure beyond its standard goals.
Why are diabetics put on ACE inhibitors?
By reducing blood pressure and fluid retention, ACE inhibitors help to prevent heart failure. ACE inhibitors may also prevent and control diabetic nephropathy (kidney disease) and help control diabetic retinopathy (eye problems). ACE inhibitors do not slow the heart or directly lower blood sugar.
Should everyone take an ACE inhibitor?
ACE inhibitors are safe for most people, but not for everyone. The following are people who shouldn’t take ACE inhibitors: Pregnant women. An ACE inhibitor might hurt the baby during the last six months of pregnancy.
Which ACE inhibitor is best for diabetics?
Captopril is the only FDA-approved ACE inhibitor for diabetic nephropathy although other ACE inhibitors may be as effective. Several studies demonstrated that lisinopril is effective in the reducing urinary albumin excretion in diabetes.
What diabetes drugs are ACE inhibitors?
ACE inhibitors include quinapril (Accupril), perindopril (Aceon), ramipril (Altace), captopril (Capoten), benazepril (Lotensin), trandolapril (Mavik), fosinopril (Monopril), lisinopril (Prinivil, Zestril), moexipril (Univasc), and enalapril (Vasotec).
Are statins good for diabetics?
The ADA recommends a moderate statin dose for people with diabetes who are under 40, or 40 to 75 without any other risks for heart disease. A high statin dose is recommended for people with diabetes who have heart disease, and for those between 40 and 75 who have other risk factors for heart disease.
What is the best alternative to ACE inhibitors?
Angiotensin receptor blockers (ARBs) have a similar effect in lowering blood pressure and helping heart failure. They do not affect enzymes like ACE inhibitors do. Instead, they block a receptor that is stimulated by the hormones.
What is the safest ACE inhibitor?
For all-cause mortality, ramipril was associated with the lowest mortality and lisinopril with the highest. For increasing ejection fraction and stroke volume, enalapril was the most effective and the placebo ranked the lowest in efficacy.
What is a better alternative to lisinopril?
Losartan potassium is the generic name for the prescription drug commonly sold under the brand name Cozaar. Like lisinopril, it’s approved by the FDA to treat high blood pressure, but it belongs to a different class of medications called angiotensin II receptor blockers (ARBs) (DailyMed, 2018).
Should all diabetics be on ACE or ARB?
The LIFE trial also provides evidence of the benefits of ARBs in reducing cardiovascular events in a high-risk population of diabetic patients with hypertension and left ventricular hypertrophy. Ideally, therefore, all diabetic patients with renal or cardiovascular disease should be treated with ACE inhibitors or ARBs.
Why is lisinopril good for diabetics?
In people with diabetes, lisinopril helps prevent kidney disease from progressing and reduces the amount of protein that goes unfiltered by the kidneys and ends up in urine (a.k.a. proteinuria).
Is lisinopril bad for diabetics?
Lisinopril, like other ACE inhibitors, lowers blood pressure and preserves renal function in hypertensive patients with non-insulin-dependent or insulin-dependent diabetes mellitus (NIDDM or IDDM) and early or overt nephropathy, without adversely affecting glycaemic control or lipid profiles.