A 62-year-old with T2DM and CKD G3a on metformin wants to start SGLT2 inhibitor. eGFR 48 mL/min/1.73 m², UACR 220 mg/g. Recommendation?...

Question

A 62-year-old with T2DM and CKD G3a on metformin wants to start SGLT2 inhibitor. eGFR 48 mL/min/1.73 m², UACR 220 mg/g. Recommendation?

Accepted Answer

Start SGLT2 inhibitor; renal and CV benefit

Answer

Avoid SGLT2; eGFR too low

Answer

Wait until dialysis

Answer

Use DPP-4 inhibitor instead

Answer

Use only if UACR >300 mg/g

us-abim MCQ (SBA): CKD (SGLT2 threshold)