Question

A 58-year-old man with type 2 diabetes for 8 years, eGFR 55 mL/min/1.73 m² and microalbuminuria is on metformin and a sulfonylurea with HbA1c 7.4%. According to Diabetes Canada and kidney protection guidance, which additional agent has the strongest indication?

Accepted Answer

Add an SGLT2 inhibitor with proven renal benefit

Answer

Add a thiazolidinedione

Answer

Switch to basal insulin alone

Answer

Stop metformin due to mild renal impairment

Answer

Add a DPP-4 inhibitor only

Practice question

A 58-year-old man with type 2 diabetes for 8 years, eGFR 55 mL/min/1.73 m² and microalbuminuria is on metformin and a sulfonylurea with HbA1c 7.4%. According to Diabetes Canada and kidney protection guidance, which additional agent has the strongest indication?