Question

A 58-year-old with eGFR 25 mL/min/1.73 m² and UACR 650 mg/g has hypertension and T2D. Which measure is recommended to slow CKD progression?

Accepted Answer

Start ACE inhibitor or ARB and titrate to maximally tolerated dose

Answer

Discontinue ACE inhibitor due to low eGFR

Answer

Start dual ACE inhibitor plus ARB therapy

Answer

Avoid SGLT2 inhibitors at eGFR 25

Answer

Initiate high-protein diet

Practice question

A 58-year-old with eGFR 25 mL/min/1.73 m² and UACR 650 mg/g has hypertension and T2D. Which measure is recommended to slow CKD progression?