Question

A 63-year-old with T2DM, eGFR 28, UACR 600 mg/g on ACE inhibitor. Which SGLT2 inhibitor use is appropriate?

Accepted Answer

Initiate SGLT2 inhibitor; kidney-protective benefits extend down to eGFR ~20

Answer

SGLT2 inhibitors are contraindicated below eGFR 60

Answer

Initiate only if eGFR >45

Answer

Avoid SGLT2 and start DPP-4

Answer

Stop ACE inhibitor when starting SGLT2

Practice question

A 63-year-old with T2DM, eGFR 28, UACR 600 mg/g on ACE inhibitor. Which SGLT2 inhibitor use is appropriate?