Question

A 66-year-old with type 2 diabetes and CKD (eGFR 32 mL/min/1.73 m²) asks about kidney-protective medicines. She is on metformin and ACE inhibitor. Which addition reduces CKD progression and CV events per guidelines?

Accepted Answer

Add an SGLT2 inhibitor if eGFR ≥20 mL/min/1.73 m²

Answer

Start a DPP-4 inhibitor

Answer

Start chronic NSAID for analgesia

Answer

Stop ACE inhibitor if creatinine rises up to 25% after initiation

Answer

Switch ACE inhibitor to hydralazine

Practice question

A 66-year-old with type 2 diabetes and CKD (eGFR 32 mL/min/1.73 m²) asks about kidney-protective medicines. She is on metformin and ACE inhibitor. Which addition reduces CKD progression and CV events per guidelines?