Question

A 64-year-old with T2DM and CKD (eGFR 28 mL/min/1.73 m², UACR 420 mg/g) is on ACE inhibitor. Which additional therapy is indicated to slow CKD progression and reduce CV events?

Accepted Answer

SGLT2 inhibitor initiation (if eGFR ≥20)

Answer

DPP-4 inhibitor

Answer

Add thiazide diuretic

Answer

Stop ACE inhibitor

Answer

Start GLP-1 RA only

Practice question

A 64-year-old with T2DM and CKD (eGFR 28 mL/min/1.73 m², UACR 420 mg/g) is on ACE inhibitor. Which additional therapy is indicated to slow CKD progression and reduce CV events?