Question

A 58-year-old with T2DM and ACR 75 mg/mmol has eGFR 52 mL/min/1.73 m² and BP 148/88. According to NICE CKD guidance, which intervention is indicated primarily for renoprotection?

Accepted Answer

Start ACE inhibitor, titrate to maximum tolerated dose

Answer

Start thiazide-like diuretic

Answer

Start calcium channel blocker only

Answer

No drug therapy until ACR >100

Answer

Start loop diuretic

Practice question

A 58-year-old with T2DM and ACR 75 mg/mmol has eGFR 52 mL/min/1.73 m² and BP 148/88. According to NICE CKD guidance, which intervention is indicated primarily for renoprotection?