Question

A 58-year-old with type 2 diabetes, CKD stage 3 (eGFR 42 mL/min/1.73 m²), and albumin-creatinine ratio 180 mg/g is on maximally tolerated ACE inhibitor. HbA1c 7.2%. Next renal-protective pharmacotherapy?

Accepted Answer

Add SGLT2 inhibitor

Answer

Add thiazolidinedione

Answer

Switch ACE inhibitor to ARB

Answer

Add DPP-4 inhibitor

Answer

Start basal insulin

Practice question

A 58-year-old with type 2 diabetes, CKD stage 3 (eGFR 42 mL/min/1.73 m²), and albumin-creatinine ratio 180 mg/g is on maximally tolerated ACE inhibitor. HbA1c 7.2%. Next renal-protective pharmacotherapy?