Question

A 58-year-old with diabetic CKD (eGFR 45 mL/min/1.73 m²) and albumin-to-creatinine ratio 420 mg/g is on maximally tolerated ACE inhibitor. Next best disease-modifying therapy?

Accepted Answer

Add an SGLT2 inhibitor

Answer

Add non-dihydropyridine calcium channel blocker

Answer

Start finerenone only

Answer

Switch ACE inhibitor to ARB

Answer

Tighten BP goal to <120/70 mm Hg only

Practice question

A 58-year-old with diabetic CKD (eGFR 45 mL/min/1.73 m²) and albumin-to-creatinine ratio 420 mg/g is on maximally tolerated ACE inhibitor. Next best disease-modifying therapy?