A 63-year-old man with type 2 diabetes, eGFR 58 ml/min/1.73 m2 and ACR 48 mg/mmol is already on maximum tolerated ACE inhibitor and an SGLT2

Question

A 63-year-old man with type 2 diabetes, eGFR 58 ml/min/1.73 m2 and ACR 48 mg/mmol is already on maximum tolerated ACE inhibitor and an SGLT2 inhibitor. Potassium is 4.4 mmol/L. What additional treatment should be considered to reduce kidney and cardiovascular risk?

Accepted Answer

Finerenone

Answer

Furosemide for albuminuria alone

Answer

Spironolactone as routine first choice

Answer

Desmopressin

Answer

Tolbutamide

Diabetic kidney disease — SCE Endocrinology MCQ

A 63-year-old man with type 2 diabetes, eGFR 58 ml/min/1.73 m2 and ACR 48 mg/mmol is already on maximum tolerated ACE inhibitor and an SGLT2 inhibitor. Potassium is 4.4 mmol/L. What additional treatment should be considered to reduce kidney and cardiovascular risk?