Diabetic Nephropathies, Hypertension
Conditions
Keywords
Diabetic Nephropathies, Hypertension, Proteinuria, Albuminuria, Epithelial Sodium Channels, Epithelial Sodium Channel Blockers, Amiloride
Brief summary
The purpose of the study is to determine whether a diuretic drug called amiloride is capable of increasing renal salt excretion and thereby decrease blood pressure in diabetic patients with kidney disease. Our hypothesis states that amiloride is capable of reducing blood pressure in these patients and thus decrease the cardiovascular risk associated with diabetic kidney disease.
Interventions
200 mmol NaCl per day given as three meals daily for 4 consecutive days.
Amiloride tablet 20 mg two times daily (morning and afternoon) for two consecutive days.
Sponsors
Study design
Eligibility
Inclusion criteria
* Type 1 diabetes * Negative pregnancy test at inclusion and taking contraceptive medication * One group with diabetic nephropathy and overt proteinuria * One normoalbuminuric group without nephropathy * Creatinine clearance \> 40 ml/min
Exclusion criteria
* Type 2 diabetes * Receiving amiloride, glucocorticoids, aldosterone or spironolactone * Clinically relevant organic or systemic disease including malignancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 24-hour urinary sodium excretion induced by amiloride | Change from baseline urinary sodium excretion at 24 hours after amiloride administration |
Secondary
| Measure | Time frame |
|---|---|
| Office blood pressure measurements | Change from baseline office blood pressure at day 4 of salt diet and at 24 hours after amiloride administration |
Countries
Denmark