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Diabetic albuminuria — GPhC CRA MCQ

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ModerateCardiovascular TherapeuticsDiabetic albuminuriaGPhC CRA

A woman aged 59 years with type 2 diabetes and a urine albumin:creatinine ratio of 12mg/mmol asks why her GP has started losartan despite clinic blood pressure readings around 132/78mmHg. Her eGFR is 72mL/min/1.73m2 and potassium is 4.4mmol/L. What would you advise the patient?

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

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Correct answer: E — Losartan can protect the kidneys in diabetes with albuminuria

ACE inhibitors or angiotensin receptor blockers are used in diabetes with albuminuria because they reduce intraglomerular pressure and can slow kidney disease progression. The benefit is not limited to people with markedly raised clinic blood pressure. Kidney function and potassium still require monitoring after initiation and during treatment. The other options misrepresent the indication and ongoing monitoring needs.

Reference: NICE CKS Diabetes type 2; BNF