Question

A 63-year-old with CKD G3b A3 (eGFR 38 mL/min/1.73 m², UACR 650 mg/g) and type 2 diabetes on ACE inhibitor. Which additional therapy slows CKD progression and reduces CV risk?

Accepted Answer

SGLT2 inhibitor initiation (if eGFR ≥20)

Answer

Start NSAID for proteinuria

Answer

Discontinue ACE inhibitor

Answer

High-protein diet

Answer

Immediate dialysis referral

Practice question

A 63-year-old with CKD G3b A3 (eGFR 38 mL/min/1.73 m², UACR 650 mg/g) and type 2 diabetes on ACE inhibitor. Which additional therapy slows CKD progression and reduces CV risk?