A 67-year-old man with long-standing type 2 diabetes is found to have an eGFR of 52 mL/min/1.73 m² and urinary albumin:creatinine ratio (ACR) of 45 mg...

Question

A 67-year-old man with long-standing type 2 diabetes is found to have an eGFR of 52 mL/min/1.73 m² and urinary albumin:creatinine ratio (ACR) of 45 mg/mmol on two occasions. Blood pressure is 146/88 mmHg. He is currently taking Metformin only. What is the most appropriate additional treatment to reduce progression of kidney disease?

Accepted Answer

Start an ACE inhibitor such as Ramipril

Answer

Add a thiazide diuretic

Answer

Start a calcium-channel blocker alone

Answer

No additional treatment is required

Answer

Start a potassium-sparing diuretic

uk-plab-1 MCQ (SBA): Diabetic chronic kidney disease with albuminuria