A 60-year-old man with long-standing diabetes develops macroalbuminuria (ACR 120 mg/mmol) and eGFR 55. BP 152/88. Which statement is correct?...

Question

A 60-year-old man with long-standing diabetes develops macroalbuminuria (ACR 120 mg/mmol) and eGFR 55. BP 152/88. Which statement is correct?

Accepted Answer

ACEi/ARB should be started and titrated to maximum tolerated dose

Answer

ACEi/ARB are contraindicated at eGFR

Answer

Start dual ACEi+ARB for added renal protection

Answer

Delay RAAS blockade until ACR >300 mg/mmol

Answer

SGLT2 inhibitor should replace, not add to, ACEi/ARB

ukmla MCQ (SBA): Diabetic Nephropathy