Question

A 64-year-old with type 2 diabetes and albuminuria has urine albumin-creatinine ratio (UACR) 320 mg/g and eGFR 58 mL/min/1.73 m². Blood pressure is 146/88 mm Hg. Which renoprotective step is indicated?

Accepted Answer

Start ACE inhibitor or ARB and titrate to maximal tolerated dose

Answer

Start thiazide diuretic only

Answer

Start non-dihydropyridine calcium channel blocker

Answer

Avoid RAAS blockade to prevent hyperkalemia

Answer

Start loop diuretic and salt restriction only

Practice question

A 64-year-old with type 2 diabetes and albuminuria has urine albumin-creatinine ratio (UACR) 320 mg/g and eGFR 58 mL/min/1.73 m². Blood pressure is 146/88 mm Hg. Which renoprotective step is indicated?