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HardEndocrinologyDiabetic Kidney Disease / CKD Managementukmlamrcp part 1mrcgp aktpaneprescribing safety assessment

A 66-year-old man with type 2 diabetes is found to have an eGFR of 55 mL/min/1.73m² on routine blood tests. His urine albumin-to-creatinine ratio (ACR) is 45 mg/mmol (Normal <3 mg/mmol). His blood pressure is well-controlled at 135/80 mmHg on Ramipril 10mg OD. According to NICE guidelines, what medication should be considered for cardiovascular and renal protection in this patient?

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