Question

A 58-year-old with type 2 diabetes has ACR 45 mg/mmol and eGFR 62 mL/min/1.73 m². BP averages 142/86 mmHg. What is recommended regarding kidney protection?

Accepted Answer

Start ACE inhibitor or ARB titrated to maximum tolerated dose

Answer

No treatment is indicated yet

Answer

Start thiazide diuretic only

Answer

Start SGLT2 inhibitor only for albuminuria

Answer

Avoid ACEi/ARB due to diabetes

Practice question

A 58-year-old with type 2 diabetes has ACR 45 mg/mmol and eGFR 62 mL/min/1.73 m². BP averages 142/86 mmHg. What is recommended regarding kidney protection?