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EasyEndocrinologyType 2 diabetes mellitusca-mccqe1ca-ccfpca-rcpsc-im

A 58-year-old woman is newly diagnosed with type 2 diabetes mellitus after routine blood tests. HbA1c is 8.2% and fasting plasma glucose is 9.6 mmol/L on two occasions. eGFR is 78 mL/min/1.73 m² and liver enzymes are normal. She has tried diet and exercise for 3 months without improvement. According to Diabetes Canada, which pharmacologic therapy is the most appropriate initial agent?

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