Would you advocate for SGLT2 inhibitors if they are not fully covered by insurance in patients with moderately increased albuminuria (< 300 mg/g) who are on maximal dose ACEi/ARB?

Answer from: at Academic Institution

I think the benefit would be minimal. I would not necessarily have the patient pay extra money to get them.

Answer from: at Community Practice

If the reduction of proteinuria is the goal, consider using a non-hydropyridine calcium channel blocker such as diltiazem. It is cheaper than a SGLT2I.

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Would you advocate for SGLT2 inhibitors if they are not fully covered by insurance in patients with moderately increased albuminuria (< 300 mg/g) who are on maximal dose ACEi/ARB?

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