Question

A 58-year-old man with type 2 diabetes and microalbuminuria (urine albumin creatinine ratio 12 mg per mmol) has an eGFR of 70 mL per minute per 1.73 m2 and blood pressure 138/86 mm Hg without medication. According to Diabetes Canada recommendations, what is the most appropriate next step in renal protection?

Accepted Answer

Start an ACE inhibitor even though his blood pressure is at target

Answer

Reassure and repeat urine testing in two years

Answer

Start a loop diuretic

Answer

Start an SGLT2 inhibitor only if eGFR falls below 45 mL per minute per 1.73 m2

Answer

Begin a low-protein diet without pharmacologic therapy

Practice question