Question

A 59-year-old with type 2 diabetes, albuminuria (UACR 600 mg/g), and eGFR 38 mL/min/1.73 m² is on maximally tolerated ACE inhibitor. Which kidney-protective therapy should be added?

Accepted Answer

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

Answer

Switch from ACE inhibitor to ARB

Answer

Start DPP‑4 inhibitor

Answer

Start NSAID for proteinuria

Answer

No additional therapy needed

Practice question

A 59-year-old with type 2 diabetes, albuminuria (UACR 600 mg/g), and eGFR 38 mL/min/1.73 m² is on maximally tolerated ACE inhibitor. Which kidney-protective therapy should be added?