A 55-year-old Aboriginal man in a remote community has long-standing type 2 diabetes and hypertension. eGFR is 45 mL/min/1.73 m² and ACR 35 mg/mmol. B...

Question

A 55-year-old Aboriginal man in a remote community has long-standing type 2 diabetes and hypertension. eGFR is 45 mL/min/1.73 m² and ACR 35 mg/mmol. Blood pressure is 150/90 mmHg on amlodipine alone. What is the most appropriate next step to manage his kidney disease?

Accepted Answer

Add an ACE inhibitor and aim for tighter blood pressure and glycaemic control

Answer

Stop all antihypertensives

Answer

No further treatment as CKD is mild

Answer

Use NSAIDs for analgesia regularly

Answer

Rely on dietary protein restriction alone

au-racgp MCQ (SBA): Chronic kidney disease in remote Aboriginal community

A 55-year-old Aboriginal man in a remote community has long-standing type 2 diabetes and hypertension. eGFR is 45 mL/min/1.73 m² and ACR 35 mg/mmol. Blood pressure is 150/90 mmHg on amlodipine alone. What is the most appropriate next step to manage his kidney disease?