A 71-year-old with CKD G3b (eGFR 38 mL/min/1.73 m²) and UACR 450 mg/g has type 2 diabetes and optimized ACE inhibitor therapy. Which additional therap...

Question

A 71-year-old with CKD G3b (eGFR 38 mL/min/1.73 m²) and UACR 450 mg/g has type 2 diabetes and optimized ACE inhibitor therapy. Which additional therapy specifically slows CKD progression?

Accepted Answer

Add an SGLT2 inhibitor despite eGFR 38 and albuminuria ≥200 mg/g

Answer

Increase ACE inhibitor to maximal dose and avoid SGLT2 inhibitors if eGFR

Answer

Start nonselective beta-blocker for renal protection

Answer

Switch ACE inhibitor to direct renin inhibitor

Answer

Start loop diuretic to reduce albuminuria

us-abfm MCQ (SBA): CKD Progression Therapy

A 71-year-old with CKD G3b (eGFR 38 mL/min/1.73 m²) and UACR 450 mg/g has type 2 diabetes and optimized ACE inhibitor therapy. Which additional therapy specifically slows CKD progression?