Question

A 58-year-old male with obesity, type 2 diabetes, and ACR 120 mg/g is on lisinopril 20 mg daily. BP is 134/78 mmHg. What is the next best step to reduce kidney disease progression?

Accepted Answer

Add an SGLT2 inhibitor

Answer

Stop ACE inhibitor because creatinine rose 20% from baseline

Answer

Add NSAID for analgesia sparingly

Answer

Add loop diuretic to lower albuminuria

Answer

No changes; ACE inhibitor is sufficient

Practice question

A 58-year-old male with obesity, type 2 diabetes, and ACR 120 mg/g is on lisinopril 20 mg daily. BP is 134/78 mmHg. What is the next best step to reduce kidney disease progression?