Question

A 59-year-old man with type 2 diabetes has eGFR 58 mL/min/1.73 m² and ACR 120 mg/mmol. BP is 128/78 mmHg. What is the most appropriate management?

Accepted Answer

Start an ACE inhibitor (e.g., ramipril) and titrate

Answer

No treatment as BP is normal

Answer

Start a calcium-channel blocker

Answer

Start a beta-blocker

Answer

Start loop diuretic

Practice question

A 59-year-old man with type 2 diabetes has eGFR 58 mL/min/1.73 m² and ACR 120 mg/mmol. BP is 128/78 mmHg. What is the most appropriate management?