Nondiabetic renal disease

Some patients, especially those with Type 2 diabetes, develop unrelated non-diabetic renal disorders. Clues to their presence have been presented above, but renal artery stenosis should be particularly mentioned. This is most common in Type 2 diabetic patients with hypertension and peripheral vascular disease. Full renal assessment including ultrasound examination is essential, although renal arteriography is often required to confirm or exclude the diagnosis. The distinction is vital as ACE inhibitors may provoke considerable deterioration in renal function or even precipitate renal failure.

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