A 70-year-old with CKD G3bA3 (eGFR 38; UACR 520 mg/g) and diabetes is on ACE inhibitor and SGLT2 inhibitor. BP 128/74. Next renoprotective addition?...

Question

A 70-year-old with CKD G3bA3 (eGFR 38; UACR 520 mg/g) and diabetes is on ACE inhibitor and SGLT2 inhibitor. BP 128/74. Next renoprotective addition?

Accepted Answer

Add nonsteroidal mineralocorticoid receptor antagonist (finerenone)

Answer

Add NSAID for proteinuria

Answer

Add loop diuretic for all with albuminuria

Answer

Stop ACE inhibitor to avoid hyperkalemia

Answer

No further therapy

us-abim MCQ (SBA): Diabetic Kidney Disease