Question

A 56-year-old with diabetes, eGFR 45 mL/min/1.73 m², and UACR 260 mg/g is on maximized ACE inhibitor. Which additional therapy reduces CKD and CV risk?

Accepted Answer

Add an SGLT2 inhibitor

Answer

Add a thiazolidinedione

Answer

Stop ACE inhibitor to avoid hyperkalaemia

Answer

Add a DPP-4 inhibitor

Answer

No change; recheck in 1 year

Practice question

A 56-year-old with diabetes, eGFR 45 mL/min/1.73 m², and UACR 260 mg/g is on maximized ACE inhibitor. Which additional therapy reduces CKD and CV risk?