Question

A 45-year-old man with type 2 diabetes and hypertension has an eGFR of 55 mL/min/1.73 m² and urine albumin:creatinine ratio of 25 mg/mmol. Blood pressure is 150/92 mmHg on amlodipine. What is the most appropriate next step?

Accepted Answer

Add an ACE inhibitor such as perindopril

Answer

Stop antihypertensives as eGFR is low

Answer

Start high-dose NSAIDs for renal protection

Answer

Switch amlodipine to a thiazide diuretic only

Answer

No change; current therapy is adequate

Practice question

A 45-year-old man with type 2 diabetes and hypertension has an eGFR of 55 mL/min/1.73 m² and urine albumin:creatinine ratio of 25 mg/mmol. Blood pressure is 150/92 mmHg on amlodipine. What is the most appropriate next step?