A 60-year-old woman with chronic kidney disease stage 3 and diabetes has urine albumin-to-creatinine ratio of 45 mg/mmol and blood pressure 138/82 mm ...

Question

A 60-year-old woman with chronic kidney disease stage 3 and diabetes has urine albumin-to-creatinine ratio of 45 mg/mmol and blood pressure 138/82 mm Hg on no medications. According to Diabetes Canada and Hypertension Canada guidance, which agent is preferred to slow progression of nephropathy?

Accepted Answer

ACE inhibitor or ARB as first-line antihypertensive

Answer

Thiazide diuretic

Answer

Calcium channel blocker alone

Answer

Beta-blocker as first-line antihypertensive

Answer

No pharmacologic therapy until blood pressure exceeds 140/90 mm Hg

ca-mccqe1 MCQ (SBA): Diabetic nephropathy with albuminuria

A 60-year-old woman with chronic kidney disease stage 3 and diabetes has urine albumin-to-creatinine ratio of 45 mg/mmol and blood pressure 138/82 mm Hg on no medications. According to Diabetes Canada and Hypertension Canada guidance, which agent is preferred to slow progression of nephropathy?