Question

A 72-year-old woman with type 2 diabetes and CKD stage G3b (eGFR 40 mL/min/1.73m²) is reviewed. Her ACR is 15 mg/mmol. Her HbA1c is 60 mmol/mol on Metformin and Gliclazide. She is taking Ramipril 10mg OD. Which medication should be added next according to NICE guidelines?

Accepted Answer

Dapagliflozin

Answer

Insulin (basal)

Answer

Pioglitazone

Answer

Sitagliptin

Answer

Switch Gliclazide to Liraglutide

Practice question

A 72-year-old woman with type 2 diabetes and CKD stage G3b (eGFR 40 mL/min/1.73m²) is reviewed. Her ACR is 15 mg/mmol. Her HbA1c is 60 mmol/mol on Metformin and Gliclazide. She is taking Ramipril 10mg OD. Which medication should be added next according to NICE guidelines?