Question

A 57-year-old with type 2 diabetes and CKD (eGFR 52) has persistent albuminuria (UACR 180 mg/g) on maximal ACE inhibitor. Which additional agent reduces kidney and CV events specifically in albuminuric diabetic CKD without hyperkalemia?

Accepted Answer

Finerenone (nonsteroidal MRA)

Answer

Spironolactone

Answer

DPP-4 inhibitor

Answer

Thiazide diuretic

Answer

Alpha-blocker

Practice question

A 57-year-old with type 2 diabetes and CKD (eGFR 52) has persistent albuminuria (UACR 180 mg/g) on maximal ACE inhibitor. Which additional agent reduces kidney and CV events specifically in albuminuric diabetic CKD without hyperkalemia?