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ModerateNephrologyDiabetic Kidney Diseaseus-abimus-usmle-step-2us-usmle-step-3

A 68-year-old man with long-standing diabetes and hypertension presents with progressive fatigue and ankle swelling. Estimated GFR is 32 mL per minute per 1.73 m2, and urine albumin-to-creatinine ratio is 450 mg per g. He is on maximal ACE inhibitor and good blood pressure control. What additional medication class is recommended to slow kidney disease progression?

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