Question

A 63-year-old with CKD G3b/A3 (eGFR 39; UACR 550 mg/g) and T2DM is on ACE inhibitor and SGLT2 inhibitor. Next kidney-protective step?

Accepted Answer

Continue RAS blockade and SGLT2; consider adding finerenone for persistent albuminuria

Answer

Stop ACE inhibitor to avoid hyperkalemia risk

Answer

Add loop diuretic solely for albuminuria reduction

Answer

Switch SGLT2 to DPP-4 inhibitor

Answer

No further options exist

Practice question

A 63-year-old with CKD G3b/A3 (eGFR 39; UACR 550 mg/g) and T2DM is on ACE inhibitor and SGLT2 inhibitor. Next kidney-protective step?