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Moreover, ramipril reduced UAE at 1 year and at the end of the study. Therefore, ACE inhibitors have been shown to be beneficial for renoprotection and cardioprotection in patients with T2DM. 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.]