A 72-year-old man with long-standing diabetes has an eGFR of 25 mL/min/1.73 m² and persistent albuminuria. He is on an ACE inhibitor and blood pressur...

Question

A 72-year-old man with long-standing diabetes has an eGFR of 25 mL/min/1.73 m² and persistent albuminuria. He is on an ACE inhibitor and blood pressure is adequately controlled. According to CKD guidelines, what is the most appropriate next step in his management?

Accepted Answer

Refer to a nephrologist for co-management of advanced CKD

Answer

Continue current management without referral

Answer

Stop ACE inhibitor to improve eGFR

Answer

No need for further monitoring

Answer

Start NSAIDs for analgesia of diabetic neuropathy

au-amc MCQ (SBA): Chronic kidney disease

A 72-year-old man with long-standing diabetes has an eGFR of 25 mL/min/1.73 m² and persistent albuminuria. He is on an ACE inhibitor and blood pressure is adequately controlled. According to CKD guidelines, what is the most appropriate next step in his management?