Question

A 62-year-old with type 2 diabetes and eGFR 38 mL/min/1.73 m² has UACR 420 mg/g despite ACE inhibitor. What kidney-protective therapy should be added?

Accepted Answer

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

Answer

Add thiazolidinedione

Answer

Start DPP-4 inhibitor

Answer

Stop ACE inhibitor and start ARB

Answer

No additional therapy

Practice question

A 62-year-old with type 2 diabetes and eGFR 38 mL/min/1.73 m² has UACR 420 mg/g despite ACE inhibitor. What kidney-protective therapy should be added?