A 62-year-old man with long-standing hypertension and type 2 diabetes has an eGFR of 50 mL/min/1.73 m² and urine albumin-to-creatinine ratio (ACR) of ...

Question

A 62-year-old man with long-standing hypertension and type 2 diabetes has an eGFR of 50 mL/min/1.73 m² and urine albumin-to-creatinine ratio (ACR) of 45 mg/mmol. According to Australian CKD management guidance, which therapy is specifically indicated to slow progression of his kidney disease and reduce cardiovascular risk, in addition to blood pressure control and glycaemic optimisation?

Accepted Answer

ACE inhibitor or ARB at maximally tolerated dose

Answer

Thiazide diuretic alone

Answer

Loop diuretic alone

Answer

Calcium-channel blocker alone

Answer

No specific renoprotective therapy is indicated

au-amc MCQ (SBA): Proteinuric chronic kidney disease