Question

A 64-year-old with T2DM, albuminuria (UACR 420 mg/g), eGFR 38 mL/min/1.73 m², controlled BP on ACE inhibitor. Which additional therapy improves renal and CV outcomes?

Accepted Answer

Add SGLT2 inhibitor

Answer

Add DPP-4 inhibitor

Answer

Add GLP-1 RA instead of SGLT2 inhibitor

Answer

Stop ACE inhibitor and start ARB

Answer

Titrate ACE inhibitor off to normalise potassium

Practice question

A 64-year-old with T2DM, albuminuria (UACR 420 mg/g), eGFR 38 mL/min/1.73 m², controlled BP on ACE inhibitor. Which additional therapy improves renal and CV outcomes?