A 60-year-old diabetic with albuminuria 120 mg/g and eGFR 55 mL/min/1.73 m² on ACE inhibitor asks about additional cardio-renal protection. Best next ...

Question

A 60-year-old diabetic with albuminuria 120 mg/g and eGFR 55 mL/min/1.73 m² on ACE inhibitor asks about additional cardio-renal protection. Best next agent class?

Accepted Answer

SGLT2 inhibitor

Answer

Sulfonylurea

Answer

DPP-4 inhibitor

Answer

Thiazolidinedione

Answer

Basal insulin only

us-usmle-step-2 MCQ (SBA): Diabetic Kidney Disease

A 60-year-old diabetic with albuminuria 120 mg/g and eGFR 55 mL/min/1.73 m² on ACE inhibitor asks about additional cardio-renal protection. Best next agent class?