Question

A 62-year-old woman with long-standing hypertension and diabetes has an eGFR of 55 mL/min/1.73 m² and an albumin-to-creatinine ratio of 45 mg/mmol. Which intervention is most important to slow progression of her chronic kidney disease?

Accepted Answer

Initiation or up-titration of an ACE inhibitor or ARB

Answer

Thiazide diuretic alone

Answer

Tight glycaemic control only

Answer

Avoid all antihypertensives to preserve renal perfusion

Answer

High-protein diet

Practice question

A 62-year-old woman with long-standing hypertension and diabetes has an eGFR of 55 mL/min/1.73 m² and an albumin-to-creatinine ratio of 45 mg/mmol. Which intervention is most important to slow progression of her chronic kidney disease?