A 50-year-old man with diabetes and microalbuminuria (UACR 65 mg/g) has office BP 136/84 mm Hg on no medication. What BP approach is recommended in CK...

Question

A 50-year-old man with diabetes and microalbuminuria (UACR 65 mg/g) has office BP 136/84 mm Hg on no medication. What BP approach is recommended in CKD with albuminuria?

Accepted Answer

Start ACE inhibitor or ARB and target SBP

Answer

No therapy until SBP >=140 mm Hg

Answer

Use thiazide diuretic alone and target SBP

Answer

Add beta-blocker first-line for renal protection

Answer

Salt loading to maintain intravascular volume

us-abim MCQ (SBA): CKD-Blood Pressure Target

A 50-year-old man with diabetes and microalbuminuria (UACR 65 mg/g) has office BP 136/84 mm Hg on no medication. What BP approach is recommended in CKD with albuminuria?