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10.1177/1470320316652047

http://scihub22266oqcxt.onion/10.1177/1470320316652047
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C5843870!5843870 !27488274
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suck abstract from ncbi


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pmid27488274
      J+Renin+Angiotensin+Aldosterone+Syst 2016 ; 17 (3 ): ä
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  • Prevention of microalbuminuria using early intervention with renin-angiotensin system inhibitors in patients with type 2 diabetes: A systematic review #MMPMID27488274
  • Persson F ; Lindhardt M ; Rossing P ; Parving HH
  • J Renin Angiotensin Aldosterone Syst 2016[Jul]; 17 (3 ): ä PMID27488274 show ga
  • HYPOTHESIS/OBJECTIVES: Early prevention of diabetic nephropathy by way of blocking the renin-angiotensin system (RAS) in patients with normoalbuminuria seems rational, but trials have so far shown conflicting results. The present meta-analysis was undertaken to investigate if such treatment can prevent development of microalbuminuria. MATERIALS AND METHODS: We searched MEDLINE, EMBASE and the Cochrane Library (2 June 2014) for randomised controlled trials, with a population of patients with type 2 diabetes and normoalbuminuria, comparing angiotensin-converting enzyme inhibitors (ACEis) or angiotensin receptor blockers (ARBs) to placebo. Studies had to have at least 50 participants in each arm and one year of follow-up. Random and fixed effect models were performed as well as trial sequential analysis. RESULTS: Six trials were included in the analysis (n=16,921). Overall risk of bias was variable. In a fixed model analysis ACE or ARB treatment was superior to placebo in relation to prevention of development of microalbuminuria, risk ratio 0.84 (95% confidence interval (CI) 0.79-0.88) p<0.001, I(2)=23%, similar to random model results. Treatment also showed a trend towards a reduction in all-cause mortality(p=0.07). CONCLUSIONS: We conclude that in patients with type 2 diabetes and normoalbuminuria, early intervention with ACEis or ARBs reduces the risk for development of microalbuminuria.
  • |*Renin-Angiotensin System [MESH]
  • |Albuminuria/*complications/drug therapy/physiopathology/*prevention & control [MESH]
  • |Angiotensin-Converting Enzyme Inhibitors/pharmacology/therapeutic use [MESH]
  • |Blood Pressure/drug effects [MESH]
  • |Clinical Trials as Topic [MESH]
  • |Diabetes Mellitus, Type 2/*complications/*drug therapy/physiopathology [MESH]
  • |Humans [MESH]
  • |Hypertension/complications/physiopathology [MESH]


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