A 70-year-old with type 2 diabetes (A1c 8.5%), albumin-to-creatinine ratio 120 mg/g, eGFR 45 mL/min/1.73 m² on ACE inhibitor. Which additional therapy...

Question

A 70-year-old with type 2 diabetes (A1c 8.5%), albumin-to-creatinine ratio 120 mg/g, eGFR 45 mL/min/1.73 m² on ACE inhibitor. Which additional therapy slows CKD progression and CV events?

Accepted Answer

Add SGLT2 inhibitor

Answer

Add thiazolidinedione

Answer

Add DPP-4 inhibitor

Answer

Stop ACE inhibitor and start ARB

Answer

Restrict protein to 0.4 g/kg/day

us-usmle-step-2 MCQ (SBA): Diabetic CKD with Albuminuria

A 70-year-old with type 2 diabetes (A1c 8.5%), albumin-to-creatinine ratio 120 mg/g, eGFR 45 mL/min/1.73 m² on ACE inhibitor. Which additional therapy slows CKD progression and CV events?