A 61-year-old man with long-standing type 2 diabetes and hypertension has an eGFR of 42 mL/min/1.73 m² and persistent albumin-to-creatinine ratio 18 m...

Question

A 61-year-old man with long-standing type 2 diabetes and hypertension has an eGFR of 42 mL/min/1.73 m² and persistent albumin-to-creatinine ratio 18 mg/mmol despite maximised ACE inhibitor therapy and good blood pressure control. What is the most appropriate next step in managing his chronic kidney disease?

Accepted Answer

Add an SGLT2 inhibitor

Answer

Stop ACE inhibitor to improve eGFR

Answer

Start high-dose NSAIDs for analgesia

Answer

Recommend high-protein diet to preserve muscle mass

Answer

Discontinue statin therapy to reduce pill burden

ca-mccqe1 MCQ (SBA): Chronic kidney disease in diabetes