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ModerateEndocrinologyDiabetic kidney diseaseuk-plab-1

A 68-year-old man with known type 2 diabetes and hypertension is seen in clinic. His urine albumin:creatinine ratio is 20 mg/mmol and eGFR is 45 mL/min/1.73 m². He is on Ramipril 10 mg once daily. According to NICE guidance, what additional medication class should be considered to reduce renal and cardiovascular risk?

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