A 61-year-old with persistent albuminuric CKD (ACR 350 mg/g) and T2DM is on ACE inhibitor and SGLT2 inhibitor. BP 124/76 (standardized). Which additio...

Question

A 61-year-old with persistent albuminuric CKD (ACR 350 mg/g) and T2DM is on ACE inhibitor and SGLT2 inhibitor. BP 124/76 (standardized). Which addition may further reduce CKD progression and HF hospitalization?

Accepted Answer

Nonsteroidal mineralocorticoid receptor antagonist (e.g., finerenone)

Answer

DPP-4 inhibitor

Answer

Thiazide diuretic solely for renal protection

Answer

Calcium channel blocker only

Answer

Stop ACE inhibitor

us-abfm MCQ (SBA): Diabetes & CKD-Finerenone

A 61-year-old with persistent albuminuric CKD (ACR 350 mg/g) and T2DM is on ACE inhibitor and SGLT2 inhibitor. BP 124/76 (standardized). Which addition may further reduce CKD progression and HF hospitalization?