A 59-year-old with T2DM and CKD (eGFR 38) has persistent albuminuria 450 mg/g despite ACE inhibitor. BP 126/76 on ACE inhibitor and thiazide. A1c 7.2%...

Question

A 59-year-old with T2DM and CKD (eGFR 38) has persistent albuminuria 450 mg/g despite ACE inhibitor. BP 126/76 on ACE inhibitor and thiazide. A1c 7.2% on metformin and SGLT2 inhibitor. Next step to slow CKD progression?

Accepted Answer

Add finerenone

Answer

Add verapamil

Answer

Stop ACE inhibitor

Answer

Add loop diuretic

Answer

No additional therapy

us-abim MCQ (SBA): Diabetic CKD-Finerenone

A 59-year-old with T2DM and CKD (eGFR 38) has persistent albuminuria 450 mg/g despite ACE inhibitor. BP 126/76 on ACE inhibitor and thiazide. A1c 7.2% on metformin and SGLT2 inhibitor. Next step to slow CKD progression?