Question

A 52-year-old with T2DM and CKD (eGFR 38 mL/min/1.73 m², UACR 220 mg/g) is on ACE inhibitor. Which additional therapy is recommended to slow CKD progression?

Accepted Answer

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

Answer

Add a thiazide diuretic

Answer

Start a GLP-1 RA instead of SGLT2 inhibitor

Answer

Discontinue ACE inhibitor to avoid AKI

Answer

No additional therapy is indicated

Practice question

A 52-year-old with T2DM and CKD (eGFR 38 mL/min/1.73 m², UACR 220 mg/g) is on ACE inhibitor. Which additional therapy is recommended to slow CKD progression?