A 58-year-old man with long-standing type 2 diabetes has an eGFR of 45 mL/min/1.73 m² and urine albumin-to-creatinine ratio of 15 mg/mmol. His blood p...

Question

A 58-year-old man with long-standing type 2 diabetes has an eGFR of 45 mL/min/1.73 m² and urine albumin-to-creatinine ratio of 15 mg/mmol. His blood pressure is 148/88 mmHg. According to Australian CKD recommendations, what is the most appropriate management step?

Accepted Answer

Commence an ACE inhibitor or ARB and aim for blood pressure control

Answer

Avoid ACE inhibitors to prevent worsening renal function

Answer

Start a thiazide diuretic only

Answer

Stop all antihypertensives to improve renal perfusion

Answer

No medication changes are required at this stage

au-racgp MCQ (SBA): Chronic kidney disease in diabetes

A 58-year-old man with long-standing type 2 diabetes has an eGFR of 45 mL/min/1.73 m² and urine albumin-to-creatinine ratio of 15 mg/mmol. His blood pressure is 148/88 mmHg. According to Australian CKD recommendations, what is the most appropriate management step?