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Hypertension with diabetes — GPhC CRA MCQ

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ModerateCardiovascular TherapeuticsHypertension with diabetesGPhC CRA

A 58-year-old patient with type 2 diabetes has persistent clinic BP readings around 152/92 mmHg. UACR is raised and eGFR is 70 mL/min/1.73 m². Potassium is 4.5 mmol/L. What is the most appropriate action?

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Correct answer: B — Recommend an ACE inhibitor with renal and potassium monitoring

ACE inhibitors are commonly first-line for hypertension in people with diabetes and albuminuria because of renal and cardiovascular benefit. Renal function and potassium must be monitored. A loop diuretic alone is not the usual first-line approach for uncomplicated hypertension. Combining verapamil with a beta-blocker can cause bradycardia and heart block.

Reference: BNF; NICE CKS