Question

A 59-year-old man with type 2 diabetes, albuminuria (UACR 300 mg/g), and eGFR 42 mL/min/1.73 m² is on maximized ACE inhibitor. According to current standards, what additional therapy is recommended for kidney and CV protection?

Accepted Answer

Add an SGLT2 inhibitor because eGFR ≥20 mL/min/1.73 m²

Answer

Add a thiazolidinedione

Answer

Add a DPP-4 inhibitor

Answer

Stop ACE inhibitor and start ARB instead

Answer

No medication change needed

Practice question

A 59-year-old man with type 2 diabetes, albuminuria (UACR 300 mg/g), and eGFR 42 mL/min/1.73 m² is on maximized ACE inhibitor. According to current standards, what additional therapy is recommended for kidney and CV protection?