This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Kidney, Subject name: Pharmacology
[{'content': 'The levels of microalbuminuria in a 60yr old asthmatic female is 280mg. which prophylactic drug is best in this scenario \nSelect and explain. \nA. Amiloride, B. Spironolactone, C. Enalapril, D. Telmisaan', 'role': 'user'}, {'content': 'Answer: D \nExplanation: ARBs, ACE inhibitors stop the progression of diabetic nephropathy. ARBs have less adverse effects like cough and angioedema than ACE inhibitors, so preferable. Ref: Katzung 10th ed.Pg 281', 'role': 'assistant'}]