How to effectively control blood pressure in diabetic nephropathy?

  Treatment should start with salt intake restriction, weight reduction, and abstinence from smoking and alcohol. Blood pressure should be strictly controlled below 130/80mmHg, and below 125/75mmHg in patients with significant proteinuria (>1g/d) and renal insufficiency. In diabetic nephropathy, angiotensin-converting enzyme inhibitors and angiotensin II receptor antagonists are preferred for antihypertensive treatment. The use of angiotensin-converting enzyme inhibitors or angiotensin II receptor antagonists may provide renoprotective effects in addition to blood pressure control. Calcium channel blockers also have the same effect.