Question

A 58-year-old with type 2 diabetes, UACR 420 mg/g, eGFR 42 mL/min/1.73 m² is on maximized ACE inhibitor. Which additional therapy is recommended to slow CKD progression and reduce CV events?

Accepted Answer

No additional therapy is indicated

Answer

Add thiazide diuretic

Answer

Start SGLT2 inhibitor because eGFR ≥20 mL/min/1.73 m²

Answer

Stop ACE inhibitor and switch to ARB

Answer

Start DPP-4 inhibitor

Practice question

A 58-year-old with type 2 diabetes, UACR 420 mg/g, eGFR 42 mL/min/1.73 m² is on maximized ACE inhibitor. Which additional therapy is recommended to slow CKD progression and reduce CV events?