A 64-year-old with HFrEF (EF 28%) and diabetes asks about SGLT2 initiation at eGFR 24 mL/min/1.73 m². What is correct?...

Question

A 64-year-old with HFrEF (EF 28%) and diabetes asks about SGLT2 initiation at eGFR 24 mL/min/1.73 m². What is correct?

Accepted Answer

May initiate given eGFR ≥20 with expected HF/renal benefits

Answer

Contraindicated at eGFR

Answer

Not useful without albuminuria

Answer

Use only if A1C >9%

Answer

Start only after dialysis

us-abim MCQ (SBA): SGLT2 Initiation Thresholds