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MediumEndocrinologyType 2 diabetes with cardiovascular and renal diseaseau-amcau-racp

A 68-year-old man with type 2 diabetes, prior myocardial infarction and albuminuric chronic kidney disease (eGFR 58 mL/min/1.73 m²) has an HbA1c of 7.8% (62 mmol/mol) despite maximally tolerated metformin. According to contemporary Australian guidelines, what is the most appropriate next glucose-lowering agent to add?

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