Question

A 59-year-old with type 2 diabetes, albuminuria (uACR 220 mg/g), eGFR 48 mL/min/1.73 m² on ACE inhibitor and metformin. Next therapy to slow CKD progression?

Accepted Answer

Add an SGLT2 inhibitor

Answer

Start thiazolidinedione

Answer

Discontinue ACE inhibitor

Answer

Start NSAID for proteinuria

Answer

No additional therapy until eGFR <30

Practice question

A 59-year-old with type 2 diabetes, albuminuria (uACR 220 mg/g), eGFR 48 mL/min/1.73 m² on ACE inhibitor and metformin. Next therapy to slow CKD progression?