Question

A 64-year-old woman with diabetes and eGFR 46 mL/min/1.73 m² has persistent albuminuria 220 mg/g despite ACE inhibitor and SGLT2 inhibitor. Potassium 4.2 mEq/L. Which addition best targets kidney and CV outcomes?

Accepted Answer

Add finerenone

Answer

Add verapamil

Answer

Add hydrochlorothiazide

Answer

Stop ACE inhibitor and switch to ARB

Answer

No further therapy

Practice question

A 64-year-old woman with diabetes and eGFR 46 mL/min/1.73 m² has persistent albuminuria 220 mg/g despite ACE inhibitor and SGLT2 inhibitor. Potassium 4.2 mEq/L. Which addition best targets kidney and CV outcomes?