Diabetic Nephropathy Management — RACP Paediatrics MCQ
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Correct answer: B — No treatment until macroalbuminuria develops
Persistent microalbuminuria (confirmed on ≥2 of 3 samples) in T1DM indicates early diabetic nephropathy. ACE inhibitors are the first-line renoprotective treatment. They reduce intraglomerular pressure and proteinuria. BP target is <90th centile for age. Glycaemic optimisation is also essential.
Reference: ISPAD – 2024 – Diabetic Nephropathy Screening