Question

A 59-year-old woman with type 2 diabetes (A1c 7.6%), eGFR 35 mL/min/1.73 m², and UACR 650 mg/g is on maximized ACE inhibitor. Which medication should be added to slow CKD progression and reduce CV events?

Accepted Answer

Start an SGLT2 inhibitor

Answer

Add a thiazolidinedione

Answer

Switch ACE inhibitor to ARB

Answer

Start basal insulin

Answer

Add a sulfonylurea

Practice question

A 59-year-old woman with type 2 diabetes (A1c 7.6%), eGFR 35 mL/min/1.73 m², and UACR 650 mg/g is on maximized ACE inhibitor. Which medication should be added to slow CKD progression and reduce CV events?