Question

A 66-year-old with type 2 diabetes and CKD asks about ACE inhibitor initiation. Creatinine rises from 1.1 to 1.3 mg/dL after starting lisinopril. What should you do?

Accepted Answer

Continue and monitor; small creatinine rise is acceptable

Answer

Stop ACE inhibitor immediately

Answer

Double the dose immediately

Answer

Start NSAID for renal protection

Answer

Add spironolactone without monitoring

Practice question

A 66-year-old with type 2 diabetes and CKD asks about ACE inhibitor initiation. Creatinine rises from 1.1 to 1.3 mg/dL after starting lisinopril. What should you do?