Question

A 58-year-old with HTN, diabetes, and CKD (UACR 160 mg/g) is on lisinopril at target dose. BP 134/78. What additional kidney-protective step is recommended beyond BP control?

Accepted Answer

Continue ACE inhibitor and add SGLT2 inhibitor

Answer

Discontinue ACE inhibitor if creatinine rises any amount

Answer

Add ARB together with ACE inhibitor

Answer

Switch ACE inhibitor to beta-blocker

Answer

No further therapy is indicated

Practice question

A 58-year-old with HTN, diabetes, and CKD (UACR 160 mg/g) is on lisinopril at target dose. BP 134/78. What additional kidney-protective step is recommended beyond BP control?