Question

A 55-year-old with T2DM, BP 128/76, LDL 88 mg/dL, eGFR 70, and ACR 120 mg/g is on metformin only. Which additional therapy is specifically recommended to reduce kidney disease progression?

Accepted Answer

Add ACE inhibitor or ARB

Answer

Increase metformin dose only

Answer

Add GLP-1 receptor agonist for weight loss only

Answer

Add sulfonylurea

Answer

No change needed until ACR >300 mg/g

Practice question

A 55-year-old with T2DM, BP 128/76, LDL 88 mg/dL, eGFR 70, and ACR 120 mg/g is on metformin only. Which additional therapy is specifically recommended to reduce kidney disease progression?