Question

A 58-year-old with CKD G3a (eGFR 45) and albuminuria (UACR 600 mg/g) without diabetes. BP controlled on ACE inhibitor. Next disease-modifying step to slow CKD progression?

Accepted Answer

Start an SGLT2 inhibitor

Answer

Start GLP-1 receptor agonist

Answer

Switch ACE inhibitor to ARB

Answer

Add thiazide diuretic

Answer

Initiate finerenone

Practice question

A 58-year-old with CKD G3a (eGFR 45) and albuminuria (UACR 600 mg/g) without diabetes. BP controlled on ACE inhibitor. Next disease-modifying step to slow CKD progression?