Question

A 56-year-old man with long-standing type 2 diabetes and hypertension has an eGFR of 48 mL/min/1.73 m² and urinary albumin:creatinine ratio (ACR) 35 mg/mmol. BP is 138/86 mmHg on amlodipine. What is the most appropriate additional medication to slow kidney disease progression?

Accepted Answer

Add an ACE inhibitor

Answer

Add a thiazide diuretic

Answer

Add a beta blocker

Answer

Add a loop diuretic

Answer

No additional treatment is required

Practice question

A 56-year-old man with long-standing type 2 diabetes and hypertension has an eGFR of 48 mL/min/1.73 m² and urinary albumin:creatinine ratio (ACR) 35 mg/mmol. BP is 138/86 mmHg on amlodipine. What is the most appropriate additional medication to slow kidney disease progression?