The hypothesis that inhibition of the renin–angiotensinsystem may be effective in preventing diabetic nephropathy wasbased on a large body of evidence.1 Positive findings from studiesin animal models and subsequent clinical trials fostered enthusiastichope that systematic use of agents blocking the renin–angiotensinsystem in the management of diabetic nephropathy would reducethe risk of end-stage renal disease.2,3,4 Out of such studieswas born a concept that gained wide acceptance: inhibition ofthe renin–angiotensin system in patients with diabetesis beneficial with regard to both early and advanced stagesof nephropathy. As an extension, studies were initiated to . . . [Full Text of this Article]
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From the Department of Medicine, Division of Endocrinology, University of Toronto, Toronto (B.A.P.); and the Beetham Eye Institute (L.P.A.) and the Research Division (A.S.K.), Joslin Diabetes Center and Harvard Medical School, Boston.
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