Question

A 62-year-old with T2D, eGFR 28 mL/min/1.73 m², and UACR 350 mg/g on maximized ACE inhibitor. Which addition reduces CKD progression and CV events?

Accepted Answer

Increase ACE inhibitor beyond max dose

Answer

Add an SGLT2 inhibitor

Answer

Add DPP-4 inhibitor

Answer

Stop ACE inhibitor to avoid hyperkalemia risk

Answer

Start loop diuretic for renal protection

Practice question

A 62-year-old with T2D, eGFR 28 mL/min/1.73 m², and UACR 350 mg/g on maximized ACE inhibitor. Which addition reduces CKD progression and CV events?