A 58-year-old with type 2 diabetes has UACR 80 mg/g and eGFR 62 mL/min/1.73 m² on no RAAS blockade. BP 144/88 mmHg. What kidney-protective therapy is ...

Question

A 58-year-old with type 2 diabetes has UACR 80 mg/g and eGFR 62 mL/min/1.73 m² on no RAAS blockade. BP 144/88 mmHg. What kidney-protective therapy is indicated?

Accepted Answer

Use SGLT2 inhibitor alone

Answer

Start thiazide diuretic only

Answer

Start ACE inhibitor (or ARB) and titrate to maximal tolerated dose

Answer

No therapy until UACR >300 mg/g

Answer

Start mineralocorticoid receptor antagonist as first line

us-abim MCQ (SBA): Albuminuric CKD in Diabetes

A 58-year-old with type 2 diabetes has UACR 80 mg/g and eGFR 62 mL/min/1.73 m² on no RAAS blockade. BP 144/88 mmHg. What kidney-protective therapy is indicated?