A 55-year-old Aboriginal woman with poorly controlled type 2 diabetes (HbA1c 9.0% [75 mmol/mol]) lives in a remote community. She has microalbuminuria...

Question

A 55-year-old Aboriginal woman with poorly controlled type 2 diabetes (HbA1c 9.0% [75 mmol/mol]) lives in a remote community. She has microalbuminuria and blood pressure 150/95 mmHg. According to CKD and CVD risk guidance, what is the most appropriate management priority?

Accepted Answer

Start or up-titrate ACE inhibitor and intensify blood pressure and glycaemic control

Answer

Cease ACE inhibitor to avoid kidney damage

Answer

Avoid statin therapy due to age

Answer

Delay treatment until eGFR is below 45 mL/min/1.73 m²

Answer

Refer only when dialysis is required

au-amc MCQ (SBA): Chronic kidney disease in Aboriginal patient

A 55-year-old Aboriginal woman with poorly controlled type 2 diabetes (HbA1c 9.0% [75 mmol/mol]) lives in a remote community. She has microalbuminuria and blood pressure 150/95 mmHg. According to CKD and CVD risk guidance, what is the most appropriate management priority?