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

Practice 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?