Question

A 59-year-old man with type 2 diabetes has ACR 5.5 mg per mmol and eGFR 78 mL/min/1.73 m2. Blood pressure averages 126/78 mmHg. What is the most appropriate renal-protective intervention?

Accepted Answer

Start ACE inhibitor even if normotensive

Answer

No treatment as BP is normal

Answer

Start thiazide-like diuretic

Answer

Start SGLT2 inhibitor only

Answer

Start beta-blocker

Practice question

A 59-year-old man with type 2 diabetes has ACR 5.5 mg per mmol and eGFR 78 mL/min/1.73 m2. Blood pressure averages 126/78 mmHg. What is the most appropriate renal-protective intervention?