Question

A 66-year-old with CKD G3a A3 (UACR 520 mg/g) and T2DM is on maximally tolerated ACE inhibitor. eGFR 56 mL/min/1.73 m². Which addition most slows kidney disease progression per KDIGO?

Accepted Answer

Add SGLT2 inhibitor if not contraindicated

Answer

Add thiazolidinedione

Answer

Add sulfonylurea

Answer

Stop ACE inhibitor and start ARB

Answer

Tight glycemic control only; no medication changes

Practice question

A 66-year-old with CKD G3a A3 (UACR 520 mg/g) and T2DM is on maximally tolerated ACE inhibitor. eGFR 56 mL/min/1.73 m². Which addition most slows kidney disease progression per KDIGO?