67 year old female with DM (controlled on glizide), CKD 3 (thought to be secondary to DM given albuminuria,) and uncontrolled HTN. Both in the clinic and at home BP ranges from systolic 140s to 170s, diastolic 70s-90s. She is currently taking triamterene/hctz 37/25, spironolactone 25, losartan 100, nifedipine 90, metoprolol succ 200, clonidine 03. bid (she forgets tid). Imaging a couple of years ago did not show renal stenosis. Last GFR 30 and last K 4.7.
Any suggestions for follow-up on management?