Question

A 68-year-old with AF and eGFR 20 mL/min/1.73 m² asks about SGLT2 inhibitors for kidney protection (no diabetes). Albuminuria 420 mg/g. Recommendation?

Accepted Answer

Consider SGLT2 inhibitor despite eGFR 20 with albuminuria ≥200 mg/g

Answer

Avoid SGLT2 inhibitors below eGFR 45

Answer

Only in diabetes

Answer

Start DPP-4 inhibitor instead

Answer

Use NSAIDs for proteinuria

Practice question

A 68-year-old with AF and eGFR 20 mL/min/1.73 m² asks about SGLT2 inhibitors for kidney protection (no diabetes). Albuminuria 420 mg/g. Recommendation?