A 63-year-old with type 2 diabetes and CKD (eGFR 42) has UACR 420 mg/g on maximally tolerated ACE inhibitor. BP 134/78 mm Hg, A1C 7.4%. Which addition...

Question

A 63-year-old with type 2 diabetes and CKD (eGFR 42) has UACR 420 mg/g on maximally tolerated ACE inhibitor. BP 134/78 mm Hg, A1C 7.4%. Which addition slows CKD progression and reduces CV events?

Accepted Answer

Add an SGLT2 inhibitor

Answer

Add a thiazide diuretic

Answer

Stop ACE inhibitor

Answer

Add a DPP-4 inhibitor

Answer

Start basal insulin

us-abfm MCQ (SBA): Diabetic Kidney Disease

A 63-year-old with type 2 diabetes and CKD (eGFR 42) has UACR 420 mg/g on maximally tolerated ACE inhibitor. BP 134/78 mm Hg, A1C 7.4%. Which addition slows CKD progression and reduces CV events?