A 58-year-old woman with diabetes and albuminuria (UACR 220 mg/g), eGFR 42 mL/min/1.73 m², on ACE inhibitor, asks about additional therapy to slow CKD...

Question

A 58-year-old woman with diabetes and albuminuria (UACR 220 mg/g), eGFR 42 mL/min/1.73 m², on ACE inhibitor, asks about additional therapy to slow CKD progression. Which is recommended?

Accepted Answer

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

Answer

Start thiazide diuretic for renoprotection

Answer

Discontinue ACE inhibitor due to albuminuria

Answer

Begin NSAID for analgesia

Answer

No additional therapy is indicated

us-abim MCQ (SBA): Chronic Kidney Disease

A 58-year-old woman with diabetes and albuminuria (UACR 220 mg/g), eGFR 42 mL/min/1.73 m², on ACE inhibitor, asks about additional therapy to slow CKD progression. Which is recommended?