What is the recommendation for diabetic patients with CKD who have normal albumin excretion prior to the use of BP-lowering drugs?
The recommendation for diabetic patients with CKD and normal albumin excretion prior to the use of BP-lowering drugs is to treat them with BP-lowering drugs to maintain a BP that is consistently below 140 mmHg systolic and 90 mmHg diastolic. This recommendation is based on RCTs and observational studies that have suggested that lowering BP so that it is consistently below 140/90 mmHg will prevent major cardiovascular events, as well as reduce the risk of progressive CKD.