Question

A 59-year-old with type 2 diabetes and CKD (UACR 220 mg/g; eGFR 25 mL/min/1.73 m²) is on maximally tolerated ACE inhibitor and metformin (eGFR ≥30 at start). Which glucose-lowering class should be initiated for renal and CV protection?

Accepted Answer

SGLT2 inhibitor

Answer

DPP-4 inhibitor

Answer

Basal insulin

Answer

Sulfonylurea

Answer

Thiazolidinedione

Practice question

A 59-year-old with type 2 diabetes and CKD (UACR 220 mg/g; eGFR 25 mL/min/1.73 m²) is on maximally tolerated ACE inhibitor and metformin (eGFR ≥30 at start). Which glucose-lowering class should be initiated for renal and CV protection?