A 61-year-old man with T2DM (A1C 7.2%) and CKD (eGFR 54, UACR 40 mg/g) takes metformin. To reduce CKD progression and CV events, the next best step is...

Question

A 61-year-old man with T2DM (A1C 7.2%) and CKD (eGFR 54, UACR 40 mg/g) takes metformin. To reduce CKD progression and CV events, the next best step is:

Accepted Answer

Add an SGLT2 inhibitor

Answer

Add a sulfonylurea

Answer

Switch to basal insulin

Answer

Add pioglitazone

Answer

Stop metformin

us-abfm MCQ (SBA): Diabetic CKD

A 61-year-old man with T2DM (A1C 7.2%) and CKD (eGFR 54, UACR 40 mg/g) takes metformin. To reduce CKD progression and CV events, the next best step is: