Question

A 58-year-old with T2DM, eGFR 58 mL/min/1.73 m², and UACR 280 mg/g is on maximally tolerated ACE inhibitor and BP is controlled. Which additional kidney-protective therapy should be initiated?

Accepted Answer

SGLT2 inhibitor

Answer

Thiazide diuretic

Answer

NSAID for proteinuria

Answer

Stop metformin immediately

Answer

Calcium channel blocker instead of ACE inhibitor

Practice question

A 58-year-old with T2DM, eGFR 58 mL/min/1.73 m², and UACR 280 mg/g is on maximally tolerated ACE inhibitor and BP is controlled. Which additional kidney-protective therapy should be initiated?