A 68-year-old with CKD G3b/A3 and T2D is already on ACE inhibitor, SGLT2 inhibitor, and statin. Persistent albuminuria 500 mg/g. Next kidney-protectiv...

Question

A 68-year-old with CKD G3b/A3 and T2D is already on ACE inhibitor, SGLT2 inhibitor, and statin. Persistent albuminuria 500 mg/g. Next kidney-protective therapy?

Accepted Answer

Add finerenone (nonsteroidal MRA) if potassium allows

Answer

Add DPP-4 inhibitor

Answer

Add loop diuretic only

Answer

Stop ACE inhibitor

Answer

Start NSAID for proteinuria

us-abim MCQ (SBA): Diabetic CKD Add-on Therapy

A 68-year-old with CKD G3b/A3 and T2D is already on ACE inhibitor, SGLT2 inhibitor, and statin. Persistent albuminuria 500 mg/g. Next kidney-protective therapy?