Question

A 58-year-old man with diabetes and hypertension has UACR 65 mg/g and eGFR 82 mL/min/1.73 m². Which renoprotective step is indicated?

Accepted Answer

Start ACE inhibitor or ARB to reduce albuminuria

Answer

No ACE/ARB until UACR >300 mg/g

Answer

Start loop diuretic

Answer

Avoid SGLT2 inhibitors because eGFR >60

Answer

Start DPP-4 inhibitor to reduce albuminuria

Practice question

A 58-year-old man with diabetes and hypertension has UACR 65 mg/g and eGFR 82 mL/min/1.73 m². Which renoprotective step is indicated?