A 56-year-old man with long-standing type 2 diabetes and albuminuric CKD (ACR 80 mg/mmol) is on maximal ACE inhibitor and has good blood pressure cont...

Question

A 56-year-old man with long-standing type 2 diabetes and albuminuric CKD (ACR 80 mg/mmol) is on maximal ACE inhibitor and has good blood pressure control. According to Diabetes Canada and cardiorenal guidelines, which additional therapy is preferred to reduce renal and cardiovascular risk?

Accepted Answer

Add an SGLT2 inhibitor

Answer

Add a thiazide diuretic

Answer

Add a DPP-4 inhibitor

Answer

Add a sulphonylurea

Answer

Avoid additional therapy because ACE inhibitor is sufficient

ca-mccqe1 MCQ (SBA): Diabetic kidney disease cardiorenal protection

A 56-year-old man with long-standing type 2 diabetes and albuminuric CKD (ACR 80 mg/mmol) is on maximal ACE inhibitor and has good blood pressure control. According to Diabetes Canada and cardiorenal guidelines, which additional therapy is preferred to reduce renal and cardiovascular risk?