Subclinical Primary Aldosteronism in Diabetes At-Risk for Kidney Disease

This study is looking at a condition called subclinical primary aldosteronism — where one of the adrenal glands makes too much of a hormone called aldosterone — and how it may affect kidney health in people with diabetes or prediabetes. **You may be eligible if...** - You are between 18 and 80 years old - You have type 2 diabetes, prediabetes, or elevated blood sugar while on diabetes medications - Your kidney function is mildly or moderately reduced (eGFR 45–89), or you have other kidney risk factors like high blood pressure, obesity, or moderate protein in the urine **You may NOT be eligible if...** - You have type 1 diabetes - Your blood sugar is very poorly controlled (HbA1c 9% or higher) - You have had a stroke, heart attack, or heart failure - Your blood pressure is very high or very low at screening Talk to your doctor to see if this trial is right for you.