A 60-year-old man with long-standing type 2 diabetes and hypertension has an eGFR of 45 mL/min/1.73 m² and an albumin-to-creatinine ratio of 45 mg/mmo...

Question

A 60-year-old man with long-standing type 2 diabetes and hypertension has an eGFR of 45 mL/min/1.73 m² and an albumin-to-creatinine ratio of 45 mg/mmol. According to Canadian kidney disease guidelines, what pharmacologic therapy is most important to slow progression of his kidney disease?

Accepted Answer

ACE inhibitor or ARB titrated to maximum tolerated dose

Answer

Thiazide diuretic

Answer

Calcium channel blocker alone

Answer

Immediate dialysis

Answer

High-dose loop diuretic

ca-mccqe1 MCQ (SBA): Diabetic nephropathy

A 60-year-old man with long-standing type 2 diabetes and hypertension has an eGFR of 45 mL/min/1.73 m² and an albumin-to-creatinine ratio of 45 mg/mmol. According to Canadian kidney disease guidelines, what pharmacologic therapy is most important to slow progression of his kidney disease?