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[IP] interesting note from Dr. Joe

On Sun, 20 Feb 2000, Dr. Joe, The Diabetes Doctor wrote:

> It is being requested that we talk a little bit about protein
> in the urine. Note that you can find out more about this
> on our Website. Use the search engine and put in
> proteinuria.
> It is the first signal that diabetes may be causing damage
> to the kidneys. The mechanism lies in the ever narrowing
> small vessels which began to choke off the blood supply
> to small areas of the kidneys. As these areas die off,
> they leak small amounts of protein which we measure as
> microalbuminuria (very small amounts of albumin -protein-
> in the urine.
> As larger amounts come down through the urine, it is
> much later and much bigger a problem. This is called
> proteinuria.
> Much of this has been felt to be due to small areas of
> high blood pressure in these individual small arteries.
> The group of medicines called ACE inhibitors seems
> to be very well suited to stop this process. Other
> BP medications are very useful as well. Treatment
> must begin early for best success. There is even a
> movement to recommend that all people with diabetes
> go on these agents, even before problems are identified.
> Dr. Joe, the Diabetes Dr.
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