A 58-year-old with T2DM and hypertension has UACR 65 mg/g and eGFR 82 mL/min/1.73 m². Best renoprotective step in addition to glycaemic control and BP...

Question

A 58-year-old with T2DM and hypertension has UACR 65 mg/g and eGFR 82 mL/min/1.73 m². Best renoprotective step in addition to glycaemic control and BP management?

Accepted Answer

Add an ACE inhibitor or ARB for albuminuria (and hypertension)

Answer

Start thiazide diuretic for albuminuria

Answer

Avoid RAAS blockade; focus on statins

Answer

Begin dialysis education now

Answer

Use NSAIDs for analgesia as needed

us-usmle-step-2 MCQ (SBA): Diabetic Kidney Disease (Albuminuria)

A 58-year-old with T2DM and hypertension has UACR 65 mg/g and eGFR 82 mL/min/1.73 m². Best renoprotective step in addition to glycaemic control and BP management?