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Type 1 Teens taking Enalapril

Discussion in 'Parents of Teens' started by Jaclyn's Mom, Aug 14, 2010.

  1. Jaclyn's Mom

    Jaclyn's Mom Approved members

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    I would like some feedback from parents whose type 1 teens are taking Enalapril to preserve kidney function. My daughter just had a slightly elevated urine microalbumin , which I understand is protein spilling from the kidneys into the urine, and her dr prescribed this med. I'm upset because she is only 14 yo, and I'm alarmed that diabetes is already starting to affect her kidneys.
    She has been type 1 for 6 and a half yrs now, has used a pump for over 5 yrs.
    Last A1c was 7.8.
     
  2. Amy C.

    Amy C. Approved members

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    My son is taking an ace inhibitor for protein in the urine. At one point, he spilled a lot of protein, not just a little. He started on 5 mg over four years ago and eventually moved up to 20.

    The hardest part is for him to remember to take the pill each day. We have an alarm clock in the living room that rings at about dinner time each day. Otherwise, he would not remember.

    I wouldn't assume there is any kidney damage yet. The ace inhibibitor does work to take out the protein.

    I am thankful there is a medication that can help this common problem.
     
  3. maryellen816

    maryellen816 Approved members

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    I think it is premature to prescribe a medicine based on 1 slightly elevated result. My daughter had an elevated result about 5 years ago. They just had her re-test at the next regular quarterly visit. If that was high, they would do a 24 hour collection to further test, but it wasn't. I think it is rather common to have an occaisional test come back elevated.
     
  4. TheFormerLantusFiend

    TheFormerLantusFiend Approved members

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    While only 1 elevated reading, especially only 1 slightly elevated reading, is not enough to diagnosed microalbuminuria or prove kidney damage, it is suggestive and kidney changes (damage may be the wrong word) are often present in diabetics after only a few years even without changes in the level of protein in the urine.
    The ACE inhibitor is often prescribed in young adults with type 1 diabetes even without any evidence of kidney disease. I would say the number one reason to NOT take it would be if she is worried about side effects, especially low blood pressure. If the readings have been on the upper side of normal or a little high, then that would point at a reason to take them.

    Out of my last five urine readings, two were elevated, not in a row, one slightly (microalbuminuric at 33) and one extremely (overt proteinurea at +2). The other three were normal. My doctor and I discussed an ACE inhibitor and decided against it because I already usually come in with low blood pressure- top number 90 to 100 and bottom number 50 to 60 and am frequently dizzy. I do not want any lower blood pressure.
     
  5. kiwikid

    kiwikid Approved members

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    My 8 yr old has been taking an ACE inhibitor for a year now. She had 5 early morning urine samples positive for microalbumin before they started her on Lisinopril. She also saw the Paediatric Renal Specialist and had a kidney scan which was normal. The Ace haven't caused her any problems. She takes 5mg every evening and she gets to take a Vitamin Tab and Fish Oil tab at the same time to make it more fun (??) :rolleyes:
    I think they now prefer to do early morning samples to rule out postural hypertension rather than a 24 hr sample.
     

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