A 67-year-old with chronic kidney disease (eGFR 42) and albuminuria is on ACE inhibitor and SGLT2 inhibitor. BP 138/84 mmHg on amlodipine. Which addit...

Question

A 67-year-old with chronic kidney disease (eGFR 42) and albuminuria is on ACE inhibitor and SGLT2 inhibitor. BP 138/84 mmHg on amlodipine. Which additional agent has proven kidney benefit in T2D with persistent albuminuria?

Accepted Answer

Nonsteroidal mineralocorticoid receptor antagonist (e.g., finerenone)

Answer

Loop diuretic

Answer

Alpha-blocker

Answer

Direct renin inhibitor

Answer

No further therapy

us-abfm MCQ (SBA): Diabetic CKD

A 67-year-old with chronic kidney disease (eGFR 42) and albuminuria is on ACE inhibitor and SGLT2 inhibitor. BP 138/84 mmHg on amlodipine. Which additional agent has proven kidney benefit in T2D with persistent albuminuria?