Effect of Valsartan on Diabetic Nephropathy
Wei Yun-xiang
Abstract
Wei Yun-xiang
Abstract
Objective:To survey the effect of angiotensin Ⅱ type 1 receptor antagonists(AT_1Ra) valsartan on diabetic nephropathy representing a great quantity of albuminuria.Methods:32 cases of diabetic in type 2 with hypertension and 24 urine albumine excretion rate(24h UAER) more than 200μg/min were selected and divided into two groups.Their conventional therapy for diabetes was maintained.The mean arterial pressure(MAP),24h UAER,HbA_1c and vric acid before and 8 weeks after administrating valsartan in dosage of 80 mg daily or benazeprin in dosage of 10mg daily were observed.Results:The 24h UAER decreased from 703.2±987.9 to 664.2±970.6μg/min in group with valsartan(P0.01),778.6±1005.0 to 734.9±996.0μg/min in group with benazeprin(P0.01).The curative effect of valsartan was similar to that of benazeplin,which was not associated with the change of blood pressure.Conclusion:Valsartan can reduce albuminuria in diabetic nephropathy,it's protection in kidney includes other mechanisms besides underpressure.
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Objective:To survey the effect of angiotensin Ⅱ type 1 receptor antagonists(AT_1Ra) valsartan on diabetic nephropathy representing a great quantity of albuminuria.Methods:32 cases of diabetic in type 2 with hypertension and 24 urine albumine excretion rate(24h UAER) more than 200μg/min were selected and divided into two groups.Their conventional therapy for diabetes was maintained.The mean arterial pressure(MAP),24h UAER,HbA_1c and vric acid before and 8 weeks after administrating valsartan in dosage of 80 mg daily or benazeprin in dosage of 10mg daily were observed.Results:The 24h UAER decreased from 703.2±987.9 to 664.2±970.6μg/min in group with valsartan(P0.01),778.6±1005.0 to 734.9±996.0μg/min in group with benazeprin(P0.01).The curative effect of valsartan was similar to that of benazeplin,which was not associated with the change of blood pressure.Conclusion:Valsartan can reduce albuminuria in diabetic nephropathy,it's protection in kidney includes other mechanisms besides underpressure.
Key concepts: Valsartan, Medicine, Albuminuria, Diabetic nephropathy, Urology, Blood pressure, Diabetes mellitus, Excretion