A 59-year-old man with long-standing T2DM presents with persistent albuminuria (ACR 45 mg/mmol) and BP 148/88 mmHg on amlodipine. eGFR 65. What is the...

Question

A 59-year-old man with long-standing T2DM presents with persistent albuminuria (ACR 45 mg/mmol) and BP 148/88 mmHg on amlodipine. eGFR 65. What is the next step?

Accepted Answer

Switch to ACE inhibitor (or ARB)

Answer

Add thiazide diuretic

Answer

Add beta-blocker

Answer

No change; albuminuria is benign

Answer

Start spironolactone

ukmla MCQ (SBA): Diabetic kidney disease

A 59-year-old man with long-standing T2DM presents with persistent albuminuria (ACR 45 mg/mmol) and BP 148/88 mmHg on amlodipine. eGFR 65. What is the next step?