Question

A 58-year-old with type 2 diabetes and CKD G3a has UACR 520 mg/g and BP 142/86 mmHg. Which change most directly slows kidney disease progression?

Accepted Answer

Add ACE inhibitor (or ARB) and titrate to albuminuria reduction

Answer

SGLT2 inhibitor only; RAAS not needed

Answer

Switch to thiazide monotherapy

Answer

Start loop diuretic for albuminuria

Answer

Start low-dose aspirin for renal protection

Practice question

A 58-year-old with type 2 diabetes and CKD G3a has UACR 520 mg/g and BP 142/86 mmHg. Which change most directly slows kidney disease progression?