Question

A 58-year-old with type 2 diabetes, eGFR 45 mL/min/1.73 m², and albumin-to-creatinine ratio 450 mg/g is on metformin. Which additional therapy is recommended to slow CKD progression and reduce CV risk?

Accepted Answer

Add an SGLT2 inhibitor if not contraindicated

Answer

DPP-4 inhibitor

Answer

Sulfonylurea

Answer

Basal insulin

Answer

GLP-1 receptor agonist only

Practice question

A 58-year-old with type 2 diabetes, eGFR 45 mL/min/1.73 m², and albumin-to-creatinine ratio 450 mg/g is on metformin. Which additional therapy is recommended to slow CKD progression and reduce CV risk?