Question

A 65-year-old with T2D and eGFR 22 mL/min/1.73 m² asks if SGLT2 inhibitors can be started. Albuminuria is 650 mg/g. What do guidelines support?

Accepted Answer

Initiate SGLT2 inhibitor because benefits extend down to eGFR ≥20

Answer

Do not start at eGFR <30

Answer

Initiate only once eGFR >60

Answer

Use DPP-4 inhibitor instead

Answer

Use sulfonylurea instead

Practice question

A 65-year-old with T2D and eGFR 22 mL/min/1.73 m² asks if SGLT2 inhibitors can be started. Albuminuria is 650 mg/g. What do guidelines support?