Question

A 64-year-old woman with type 2 diabetes and albuminuria (ACR 50 mg/mmol) and eGFR 45 mL/min is already on maximum tolerated ACE inhibitor. HbA1c is 64 mmol/mol. What is the most appropriate additional glucose-lowering drug?

Accepted Answer

Add an SGLT2 inhibitor

Answer

Add a sulfonylurea

Answer

Add a thiazolidinedione

Answer

Add a DPP-4 inhibitor only

Answer

No further treatment

Practice question

A 64-year-old woman with type 2 diabetes and albuminuria (ACR 50 mg/mmol) and eGFR 45 mL/min is already on maximum tolerated ACE inhibitor. HbA1c is 64 mmol/mol. What is the most appropriate additional glucose-lowering drug?