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. 2006 Oct 18;2006(4):CD006257. doi: 10.1002/14651858.CD006257
Methods Country: UK 
 Setting/Design: University 
 Time frame: NS 
 Randomisation method: Yes 
 Blinding 
 ‐ Participants: Yes 
 ‐ Investigators: Yes 
 ‐ Outcome assessors: No 
 ‐ Data analysis: No 
 Intention‐to‐treat: Yes 
 Follow‐up period: 24 months 
 Loss to follow‐up: 82
Participants Inclusion criteria
  • Age: 20‐59 years

  • Males and females

  • DM: Type 1 (diagnosis before age 36 and the need for continuous insulin therapy within a year of diagnosis)

  • Resting DBP: 75‐90 mm Hg and SBP </= 155 mm Hg


Lisinopril group
  • Number: 265

  • Age: 33 (27‐40)

  • Sex (M/F): 155/110


Placebo group
  • Number: 265

  • Age: 33 (28‐41)

  • Sex (M/F): 167/98


Exclusion criteria
  • History of renal‐artery stenosis, cardiac‐valve obstruction, or accelerated hypertension

  • Recent (within the previous 3 months) MI, coronary bypass surgery, stroke, or CHF

  • Abnormal renal function: SCr > 1.8 mg/dL in the previous 6 months, persistent proteinuria (albustix positive or an AER > 250 µg/min) or persistent haematuria on 3 occasions within the previous 12 months

  • Postural hypotension

  • Medication that affects BP

  • Previous idiosyncratic reaction to ACEi

  • Seropositive for hepatitis B or HIV

Interventions Lisinopril group 
 10‐20 mg/d
Placebo group
Co‐interventions: NS
Outcomes
  1. AER

Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Low risk A ‐ Adequate