AKT-3674

AKT-3674

A 65-year-old Caucasian man visits his GP for a routine health check-up. During the examination, his clinic blood pressure is found to be elevated. Further ambulatory monitoring reveals a daytime average measurement of 160/96 mmHg. His blood and urine tests show the following results:

– Na+ 137 mmol/L (135 – 145)
– K+ 4.2 mmol/L (3.5 – 5.0)
– Creatinine 136 µmol/L (55 – 120)
– Estimated glomerular filtration rate (eGFR) 56 ml/min/1.73 m² (>90)
– HbA1c 39 mmol/mol (<42)
– Urinary albumin: creatinine ratio 45 mg/mmol (<3) The patient confirms that the urine sample was produced in the early morning, and his eGFR is unchanged from last year. What is the appropriate management for this patient?