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In patients with T1DM, ACE inhibitors have been shown to delay the progression of nephropathy in both microalbuminuria and macroalbuminuria. 165166 Patients who are normotensive without evidence of microalbuminuria should be placed on ACE inhibitors for prevention of diabetic nephropathy. 146. Patients with T2DM with microalbuminuria or macroalbuminuria in clinical trials have had renoprotective benefits from either ACE inhibitors or ARBs.

Speaking yesterday at the APIL president‚s annual luncheon, current incumbent Karl Tonks called on the government to ‚stop, review and take stock‚ of what it is doing with its reforms ‚ including what he called the ‚lazy and reckless‚ move in the Enterprise and Regulatory Reform Bill currently before Parliament to abolish a worker‚s right to compensation for breach of health and safety regulations; instead employees will have to prove that negligence has occurred. ‚The government has already shown that it can listen and respond to concerns in relation to reform of the GCSE exam, and it needs to show the same willingness to listen in relation to civil justice,‚ Mr Tonks said. ‚It would be irresponsible and wrong to reform and change in haste and then force injured victims to repent at leisure.]