Question

A 60-year-old with CKD (eGFR 36 mL/min/1.73 m²) and UACR 420 mg/g is on maximally tolerated ACE inhibitor. Which kidney-protective therapy should be added?

Accepted Answer

Add SGLT2 inhibitor now

Answer

Avoid SGLT2 inhibitor until eGFR >45

Answer

Start thiazide diuretic for albuminuria

Answer

Start loop diuretic to lower albuminuria

Answer

Switch ACE inhibitor to ARB

Practice question

A 60-year-old with CKD (eGFR 36 mL/min/1.73 m²) and UACR 420 mg/g is on maximally tolerated ACE inhibitor. Which kidney-protective therapy should be added?