Question

A 58-year-old with eGFR 48 mL/min/1.73 m² and urine albumin-creatinine ratio (UACR) 220 mg/g has type 2 diabetes. Which therapy is specifically recommended for renal and CV protection?

Accepted Answer

Start SGLT2 inhibitor if eGFR ≥20 mL/min/1.73 m²

Answer

Start thiazolidinedione

Answer

Start DPP-4 inhibitor

Answer

Stop ACE inhibitor to avoid hyperkalemia

Answer

No additional therapy if A1C is at goal

Practice question

A 58-year-old with eGFR 48 mL/min/1.73 m² and urine albumin-creatinine ratio (UACR) 220 mg/g has type 2 diabetes. Which therapy is specifically recommended for renal and CV protection?