A 58-year-old with type 2 diabetes, A1c 7.8%, eGFR 38 mL/min/1.73 m², and UACR 450 mg/g is taking metformin. BP is controlled. What agent provides ren...

Question

A 58-year-old with type 2 diabetes, A1c 7.8%, eGFR 38 mL/min/1.73 m², and UACR 450 mg/g is taking metformin. BP is controlled. What agent provides renal and cardiovascular protection per current standards?

Accepted Answer

Add an SGLT2 inhibitor with proven kidney benefit

Answer

Start a GLP-1 receptor agonist

Answer

Start basal insulin

Answer

Add a thiazolidinedione

Answer

Add a DPP-4 inhibitor

us-usmle-step-1 MCQ (SBA): Type 2 Diabetes with CKD

A 58-year-old with type 2 diabetes, A1c 7.8%, eGFR 38 mL/min/1.73 m², and UACR 450 mg/g is taking metformin. BP is controlled. What agent provides renal and cardiovascular protection per current standards?