Hypertensive type2 diabetic nephropathy patients with chronic kidney disease (CKD)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: The subjects enrolled in the present study are hypertensive type 2 diabetic outpatients with nephropathy, who visit our hospitals and fulfilled the following criteria: 1) mild or moderate hypertension (blood pressure 130-200/90-110 mmHg) 2) mild or moderate hyperglycemia (HbA1c < 8%) 3) an urinary albumin excretion higher than 30 mg/g creatinine.
Exclusion criteria
Exclusion criteria: 1) A serum creatinine level is more than 2.5 mg/dl and existence of hematuria. 2) A patient who has received continuous dialysis. 3) With severe diabetic complications such as retinal hemorrhage, neuropathy, and so on. 4) Existence of severe hepatic damages, and cerebrovascular disorders including heart failure. 5) A severe hypertensive patient (BP > 200/110 mmHg). 6) Use of rennin angiotensin system (RAS) inhibitors.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Changes of urinary angiotensinogen excretion, monocyte chemoattractant protein (MCP)-1, interleukin (IL)-6, 8-epi prostaglandin F2alpha 8-hydroxydeoxyguanosine, albumin excretion (albumin to creatinine ratio: ACR) and blood pressure. | — |
Countries
Japan
Contacts
Tohoku University Hospital Division of Nephrology, Endocrinology and Hypertension