Question

A 70-year-old with CKD G3a and T2D taking metformin and SGLT2 inhibitor has persistent albuminuria (UACR 380 mg/g) on maximized ACE inhibitor. Which add-on reduces CKD progression and CV events?

Accepted Answer

Add nonsteroidal mineralocorticoid receptor antagonist

Answer

Add loop diuretic

Answer

Add DPP-4 inhibitor

Answer

Add alpha-blocker

Answer

Stop ACE inhibitor

Practice question

A 70-year-old with CKD G3a and T2D taking metformin and SGLT2 inhibitor has persistent albuminuria (UACR 380 mg/g) on maximized ACE inhibitor. Which add-on reduces CKD progression and CV events?