Question

A 72-year-old man with type 2 diabetes and CKD (eGFR 42) is on ACEi and SGLT2 inhibitor. K⁺ 4.6. ACR 380 mg/g. Blood pressure is 128/76. What next to further reduce renal/CV risk?

Accepted Answer

Add finerenone with K⁺ monitoring

Answer

Add β‑blocker for renal protection

Answer

No additional therapy needed

Answer

Stop ACEi

Answer

Increase ACEi beyond max dose

Practice question

A 72-year-old man with type 2 diabetes and CKD (eGFR 42) is on ACEi and SGLT2 inhibitor. K⁺ 4.6. ACR 380 mg/g. Blood pressure is 128/76. What next to further reduce renal/CV risk?