A 50-year-old man with long-standing type 2 diabetes and hypertension presents with new-onset microalbuminuria (urine ACR 5 mg/mmol) but normal eGFR. ...

Question

A 50-year-old man with long-standing type 2 diabetes and hypertension presents with new-onset microalbuminuria (urine ACR 5 mg/mmol) but normal eGFR. His blood pressure is 146/88 mmHg on amlodipine alone. According to Australian cardiovascular and renal guidelines, what is the most appropriate next step?

Accepted Answer

Add an ACE inhibitor and titrate while monitoring renal function and potassium

Answer

Increase amlodipine dose to achieve BP

Answer

Switch amlodipine to a beta blocker

Answer

Add a thiazide diuretic only

Answer

No change in therapy as eGFR is normal

au-racgp MCQ (SBA): Diabetic microalbuminuria