Question

A 59-year-old with T2D and CKD (eGFR 38, UACR 420 mg/g) asks about ACE inhibitor dosing after creatinine rises from 1.0 to 1.2 mg/dL. Best advice?

Accepted Answer

Continue and recheck; modest creatinine rise (<30%) is expected

Answer

Stop ACE inhibitor

Answer

Add ARB to ACE inhibitor

Answer

Hold RAAS blockade indefinitely

Answer

Switch to verapamil for renal protection

Practice question

A 59-year-old with T2D and CKD (eGFR 38, UACR 420 mg/g) asks about ACE inhibitor dosing after creatinine rises from 1.0 to 1.2 mg/dL. Best advice?