Question

A 59-year-old man with type 2 diabetes and hypertension has eGFR 50 mL/min/1.73 m2 and urine albumin:creatinine ratio 45 mg/mmol. He is not currently on an ACE inhibitor. Blood pressure is 138/84 mmHg. According to NICE CKD guidance, what is the most appropriate treatment regarding renoprotection?

Accepted Answer

Start an ACE inhibitor such as Ramipril and titrate to maximum tolerated dose

Answer

No treatment is required as blood pressure is acceptable

Answer

Start a thiazide diuretic only

Answer

Start a beta blocker only

Answer

Avoid ACE inhibitors because of his eGFR

Practice question

A 59-year-old man with type 2 diabetes and hypertension has eGFR 50 mL/min/1.73 m2 and urine albumin:creatinine ratio 45 mg/mmol. He is not currently on an ACE inhibitor. Blood pressure is 138/84 mmHg. According to NICE CKD guidance, what is the most appropriate treatment regarding renoprotection?