Question

A 50-year-old man with well-controlled diabetes (A1C 7.1%), eGFR 85, and albumin-creatinine ratio 260 mg/g is on maximally tolerated ACE inhibitor. Which therapy most reduces CKD progression?

Accepted Answer

Add an SGLT2 inhibitor

Answer

Increase ACE inhibitor above maximally tolerated dose

Answer

Add a dihydropyridine calcium channel blocker

Answer

Start insulin to tighten A1C to <6.5%

Answer

Start thiazide diuretic

Practice question

A 50-year-old man with well-controlled diabetes (A1C 7.1%), eGFR 85, and albumin-creatinine ratio 260 mg/g is on maximally tolerated ACE inhibitor. Which therapy most reduces CKD progression?