Question

A 62-year-old with CKD G3a A3 (eGFR 55 mL/min/1.73 m²; UACR 450 mg/g) and T2DM is on ACE inhibitor and statin. Which additional therapy is recommended to slow CKD progression and reduce CV events?

Accepted Answer

Add SGLT2 inhibitor

Answer

Add thiazide diuretic

Answer

Avoid SGLT2 inhibitors if eGFR <60

Answer

Start high-dose vitamin D

Answer

Stop ACE inhibitor

Practice question

A 62-year-old with CKD G3a A3 (eGFR 55 mL/min/1.73 m²; UACR 450 mg/g) and T2DM is on ACE inhibitor and statin. Which additional therapy is recommended to slow CKD progression and reduce CV events?