A 58-year-old with type 2 diabetes has repeated urine ACR values of 18 and 21 mg/mmol, eGFR 72 mL/min/1.73 m² and BP 142/86 mmHg. They take

Question

A 58-year-old with type 2 diabetes has repeated urine ACR values of 18 and 21 mg/mmol, eGFR 72 mL/min/1.73 m² and BP 142/86 mmHg. They take amlodipine 10 mg daily. Which change best addresses renal and BP risk?

Accepted Answer

Start an ACE inhibitor or ARB, titrating with renal and potassium monitoring

Answer

Start aliskiren together with an ACE inhibitor

Answer

Add bendroflumethiazide and leave albuminuria untreated

Answer

Add spironolactone without baseline potassium testing

Answer

Replace amlodipine with propranolol

Hypertension with type 2 diabetes — GPhC CRA MCQ

A 58-year-old with type 2 diabetes has repeated urine ACR values of 18 and 21 mg/mmol, eGFR 72 mL/min/1.73 m² and BP 142/86 mmHg. They take amlodipine 10 mg daily. Which change best addresses renal and BP risk?