Clinical case review

When to start ACE inhibitors in type 2 diabetes

Peter Colman



In a middle-aged man who has had type 2 diabetes for four years, when and how should ACE inhibitors be started to prevent renal disease?

Article Extract

Case scenario

A 54-year-old man has had type 2 diabetes for four years. It is well controlled with insulin and metformin. Currently, he has no albuminuria. At what point and how should I start ACE inhibitors to prevent renal disease?