Question

A 58-year-old man with type 2 diabetes and hypertension has persistent microalbuminuria (urine ACR 6 mg/mmol) and eGFR 75 mL/min/1.73 m². His BP is 142/88 mmHg on a calcium channel blocker alone. What is the MOST appropriate next step?

Accepted Answer

Add an ACE inhibitor or ARB

Answer

Continue current therapy as BP is acceptable

Answer

Switch calcium channel blocker to beta blocker

Answer

Start high-dose loop diuretic

Answer

No specific treatment is required for microalbuminuria

Practice question

A 58-year-old man with type 2 diabetes and hypertension has persistent microalbuminuria (urine ACR 6 mg/mmol) and eGFR 75 mL/min/1.73 m². His BP is 142/88 mmHg on a calcium channel blocker alone. What is the MOST appropriate next step?