Question

A 58-year-old with long-standing diabetes and normal albuminuria asks about ACE inhibitor for primary prevention of CKD. Best answer?

Accepted Answer

Reserve ACE inhibitor/ARB for hypertension or albuminuria

Answer

Start ACE inhibitor regardless of BP or albuminuria

Answer

Use beta-blocker instead

Answer

SGLT2 inhibitor replaces ACE inhibitor

Answer

No therapy needed ever

Practice question

A 58-year-old with long-standing diabetes and normal albuminuria asks about ACE inhibitor for primary prevention of CKD. Best answer?