Question

A 69-year-old woman with T2DM, CKD G3a, and albuminuria 160 mg/g on ACE inhibitor asks about additional kidney-protective therapy. eGFR 48 mL/min/1.73 m², K⁺ 4.4 mEq/L. BP is controlled. Best next step?

Accepted Answer

Add nonsteroidal MRA (finerenone)

Answer

Add loop diuretic routinely

Answer

Stop ACE inhibitor due to CKD

Answer

Add DPP-4 inhibitor

Answer

Start thiazide diuretic to reduce albuminuria

Practice question

A 69-year-old woman with T2DM, CKD G3a, and albuminuria 160 mg/g on ACE inhibitor asks about additional kidney-protective therapy. eGFR 48 mL/min/1.73 m², K⁺ 4.4 mEq/L. BP is controlled. Best next step?