Question

A 60-year-old with T2D, eGFR 28 mL/min/1.73 m², and UACR 250 mg/g on metformin and ACE inhibitor asks about additional therapy. What is recommended to reduce kidney and CV risk?

Accepted Answer

Start an SGLT2 inhibitor (if eGFR ≥20)

Answer

Add DPP-4 inhibitor

Answer

Add sulfonylurea

Answer

Start thiazolidinedione

Answer

Stop ACE inhibitor and start ARB plus DRI

Practice question

A 60-year-old with T2D, eGFR 28 mL/min/1.73 m², and UACR 250 mg/g on metformin and ACE inhibitor asks about additional therapy. What is recommended to reduce kidney and CV risk?