Question

A 56-year-old man with type 2 diabetes and CKD (eGFR 32 mL/min/1.73 m²; UACR 320 mg/g) is on ACE inhibitor and metformin. What kidney-protective add-on is recommended?

Accepted Answer

Add an SGLT2 inhibitor

Answer

Add a DPP-4 inhibitor

Answer

Stop ACE inhibitor and start ARB

Answer

Add a loop diuretic

Answer

Start niacin

Practice question

A 56-year-old man with type 2 diabetes and CKD (eGFR 32 mL/min/1.73 m²; UACR 320 mg/g) is on ACE inhibitor and metformin. What kidney-protective add-on is recommended?