Question

A 66-year-old with longstanding diabetes and CKD presents with albumin-to-creatinine ratio 1200 mg/g and BP 146/86 on ACE inhibitor at max dose. Which additional agent slows CKD progression?

Accepted Answer

Add SGLT2 inhibitor

Answer

Add DPP-4 inhibitor

Answer

Switch ACE inhibitor to ARB and add DPP-4 inhibitor

Answer

Stop ACE inhibitor due to albuminuria

Answer

Start niacin

Practice question

A 66-year-old with longstanding diabetes and CKD presents with albumin-to-creatinine ratio 1200 mg/g and BP 146/86 on ACE inhibitor at max dose. Which additional agent slows CKD progression?