Question

A 72-year-old with diabetes and albuminuria (UACR 320 mg/g) on ACE inhibitor asks about additional kidney-protective therapy. eGFR 48. What therapy is recommended to slow CKD progression?

Accepted Answer

Add an SGLT2 inhibitor

Answer

Discontinue ACE inhibitor

Answer

Start NSAID for proteinuria

Answer

No additional therapy until dialysis

Answer

Start high-dose loop diuretic chronically

Practice question

A 72-year-old with diabetes and albuminuria (UACR 320 mg/g) on ACE inhibitor asks about additional kidney-protective therapy. eGFR 48. What therapy is recommended to slow CKD progression?