Question

A 45-year-old with T2DM has UACR 120 mg/g and eGFR 88 mL/min/1.73 m², BP 148/88 mmHg on amlodipine only. Next best step for kidney protection?

Accepted Answer

Add ACE inhibitor or ARB and target BP control

Answer

Start thiazide alone

Answer

Start SGLT2 inhibitor only

Answer

Add beta-blocker

Answer

No change; albuminuria is normal

Practice question

A 45-year-old with T2DM has UACR 120 mg/g and eGFR 88 mL/min/1.73 m², BP 148/88 mmHg on amlodipine only. Next best step for kidney protection?