A 58-year-old with albuminuric CKD (eGFR 42 mL/min/1.73 m², UACR 220 mg/g) and type 2 diabetes asks about kidney-protective therapy. Which is recommen...

Question

A 58-year-old with albuminuric CKD (eGFR 42 mL/min/1.73 m², UACR 220 mg/g) and type 2 diabetes asks about kidney-protective therapy. Which is recommended?

Accepted Answer

SGLT2 inhibitor in addition to ACE inhibitor/ARB

Answer

DPP-4 inhibitor first-line

Answer

Start NSAID for proteinuria

Answer

No benefit to glycemic agents for CKD

Answer

Stop ACE inhibitor to start SGLT2

us-abim MCQ (SBA): CKD in Diabetes

A 58-year-old with albuminuric CKD (eGFR 42 mL/min/1.73 m², UACR 220 mg/g) and type 2 diabetes asks about kidney-protective therapy. Which is recommended?