A 50-year-old obese woman with T2D and CKD G3b is on ACE inhibitor and SGLT2 inhibitor. UACR 280 mg/g persists. Which additional therapy is appropriat...

Question

A 50-year-old obese woman with T2D and CKD G3b is on ACE inhibitor and SGLT2 inhibitor. UACR 280 mg/g persists. Which additional therapy is appropriate?

Accepted Answer

Finerenone (nonsteroidal MRA) if potassium normal

Answer

Spironolactone regardless of potassium

Answer

Stop ACE inhibitor

Answer

Add NSAID for proteinuria

Answer

No further therapy can help

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

A 50-year-old obese woman with T2D and CKD G3b is on ACE inhibitor and SGLT2 inhibitor. UACR 280 mg/g persists. Which additional therapy is appropriate?