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Continue Agents After Improvement — ESENeph MCQ

Instant feedback + full explanation. One question, done properly.

ModerateDiabetic Kidney DiseaseContinue Agents After ImprovementESENeph

A 40-year-old woman with T2D and CKD G3bA3 on triple therapy achieves uACR reduction from 120 to 15 mg/mmol over 12 months. Should she stop renoprotective agents now albuminuria has improved?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: DNo – all agents should continue

Renoprotective agents work through ongoing mechanisms – effects cease when stopped. Stopping typically causes rebound proteinuria. KDIGO 2024 does not recommend stopping based on improved biomarkers.

Reference: https://guidelines.ukkidney.org