Question

A 54-year-old male with type 2 diabetes and CKD has albuminuria 450 mg/g despite ACE inhibitor. Potassium 4.6 mEq/L, eGFR 44. Which add-on reduces albuminuria and CV risk per guidelines?

Accepted Answer

Add a nonsteroidal mineralocorticoid receptor antagonist (e.g., finerenone)

Answer

Add diltiazem for proteinuria

Answer

Stop ACE inhibitor due to albuminuria

Answer

Add loop diuretic to reduce albuminuria

Answer

No further therapy indicated

Practice question

A 54-year-old male with type 2 diabetes and CKD has albuminuria 450 mg/g despite ACE inhibitor. Potassium 4.6 mEq/L, eGFR 44. Which add-on reduces albuminuria and CV risk per guidelines?