Question

A 60-year-old man with type 2 diabetes and microalbuminuria (urinary albumin-creatinine ratio 6 mg/mmol) has BP 128/78 mmHg and normal creatinine. He is not on antihypertensives. What is the most appropriate management regarding renoprotective therapy?

Accepted Answer

Start an ACE inhibitor even though BP is normal

Answer

No renoprotective therapy is required as BP is normal

Answer

Start a thiazide diuretic

Answer

Restrict protein intake only

Answer

Start an angiotensin receptor blocker and stop if creatinine rises mildly

Practice question

A 60-year-old man with type 2 diabetes and microalbuminuria (urinary albumin-creatinine ratio 6 mg/mmol) has BP 128/78 mmHg and normal creatinine. He is not on antihypertensives. What is the most appropriate management regarding renoprotective therapy?