Question

A 52-year-old woman with type 2 diabetes for 12 years has an albumin-to-creatinine ratio of 5 mg/mmol (elevated) and eGFR 70 mL/min/1.73 m². Blood pressure is 138/84 mmHg on no medications. According to Diabetes Canada, what is the most appropriate next management step?

Accepted Answer

Start an ACE inhibitor to reduce progression of diabetic nephropathy

Answer

No specific treatment; repeat urine testing in 2 years

Answer

Start a thiazide diuretic as first-line therapy

Answer

Begin dialysis planning

Answer

Avoid antihypertensive medication because blood pressure is near normal

Practice question

A 52-year-old woman with type 2 diabetes for 12 years has an albumin-to-creatinine ratio of 5 mg/mmol (elevated) and eGFR 70 mL/min/1.73 m². Blood pressure is 138/84 mmHg on no medications. According to Diabetes Canada, what is the most appropriate next management step?