A 66-year-old woman with type 2 diabetes has an albumin-to-creatinine ratio of 8 mg/mmol on two occasions and an eGFR of 70 mL/min/1.73 m². Her blood ...

Question

A 66-year-old woman with type 2 diabetes has an albumin-to-creatinine ratio of 8 mg/mmol on two occasions and an eGFR of 70 mL/min/1.73 m². Her blood pressure averages 134/84 mmHg, and she is not currently on an ACE inhibitor. According to Canadian recommendations, what is the most appropriate next step?

Accepted Answer

Start an ACE inhibitor, titrated to maximum tolerated dose

Answer

No treatment is required as blood pressure is normal

Answer

Start a thiazide diuretic

Answer

Start a loop diuretic

Answer

Start spironolactone

ca-mccqe1 MCQ (SBA): Diabetic nephropathy