EasyCardiologyHypertension in type 2 diabetes mellitusau-amcau-racgp
A 55-year-old man with type 2 diabetes mellitus attends his GP for review. He has no known cardiovascular disease. His blood pressure has averaged 152/92 mmHg over three separate visits despite lifestyle advice. BMI is 30 kg/m². eGFR is 78 mL/min/1.73 m² and urine albumin:creatinine ratio is 8 mg/mmol, consistent with microalbuminuria. According to current Australian guidelines, which is the most appropriate first-line antihypertensive agent to commence?