Question

A 58-year-old man with type 2 diabetes (ACR 20 mg/mmol) and BP 138/86 mmHg has eGFR 62 mL/min/1.73 m². What is the most appropriate renoprotective intervention?

Accepted Answer

Start ACE inhibitor and titrate to max tolerated

Answer

No treatment; ACR <30 needs no action

Answer

Start thiazide-like diuretic

Answer

Start calcium channel blocker only

Answer

Start loop diuretic

Practice question

A 58-year-old man with type 2 diabetes (ACR 20 mg/mmol) and BP 138/86 mmHg has eGFR 62 mL/min/1.73 m². What is the most appropriate renoprotective intervention?