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HardNephrologyDiabetic kidney disease optimisationau-racpau-amc

A 58-year-old man with type 2 diabetes and hypertension has persistent albuminuria with an ACR of 35 mg/mmol despite good glycaemic control and ACE inhibitor therapy at target dose. His eGFR is 48 mL/min/1.73 m² and serum potassium is 4.9 mmol/L. Which additional therapy has the strongest evidence to further slow renal progression?

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