A 70-year-old with type 2 diabetes and CKD G3a-A3 is on ACE inhibitor and SGLT2 inhibitor. BP averages 132/78 mmHg. What additional kidney-protective ...

Question

A 70-year-old with type 2 diabetes and CKD G3a-A3 is on ACE inhibitor and SGLT2 inhibitor. BP averages 132/78 mmHg. What additional kidney-protective therapy may be considered?

Accepted Answer

Add mineralocorticoid receptor antagonist (finerenone)

Answer

Add non-DHP calcium channel blocker

Answer

Add loop diuretic daily

Answer

Stop ACE inhibitor to avoid hyperkalemia

Answer

Add niacin

us-abim MCQ (SBA): Diabetic Kidney Disease-Adjunct Therapy

A 70-year-old with type 2 diabetes and CKD G3a-A3 is on ACE inhibitor and SGLT2 inhibitor. BP averages 132/78 mmHg. What additional kidney-protective therapy may be considered?