Question

A 63-year-old man with diabetes and hypertension has an albumin-to-creatinine ratio of 15 mg/mmol on two occasions and eGFR 70 mL/min/1.73 m². Which of the following interventions is most important to slow the progression of diabetic nephropathy?

Accepted Answer

Start an ACE inhibitor or angiotensin receptor blocker and optimise blood pressure control

Answer

Strict protein restriction

Answer

Avoid all antihypertensive medications

Answer

Delay treatment until eGFR is less than 60 mL/min/1.73 m²

Answer

Use non-steroidal anti-inflammatory drugs for pain control

Practice question

A 63-year-old man with diabetes and hypertension has an albumin-to-creatinine ratio of 15 mg/mmol on two occasions and eGFR 70 mL/min/1.73 m². Which of the following interventions is most important to slow the progression of diabetic nephropathy?