A 58-year-old man with type 2 diabetes has persistent microalbuminuria (ACR 5 mg/mmol) but normal creatinine. Blood pressure is 138/82 mmHg and he is ...

Question

A 58-year-old man with type 2 diabetes has persistent microalbuminuria (ACR 5 mg/mmol) but normal creatinine. Blood pressure is 138/82 mmHg and he is not on an ACE inhibitor. What is the most appropriate intervention to reduce progression of renal disease?

Accepted Answer

Start an ACE inhibitor and titrate to maximal tolerated dose

Answer

No action as creatinine is normal

Answer

Start a thiazide diuretic

Answer

Start high-dose beta-blocker

Answer

Restrict protein intake severely

uk-plab-1 MCQ (SBA): Diabetic microalbuminuria

A 58-year-old man with type 2 diabetes has persistent microalbuminuria (ACR 5 mg/mmol) but normal creatinine. Blood pressure is 138/82 mmHg and he is not on an ACE inhibitor. What is the most appropriate intervention to reduce progression of renal disease?