29th May 2025

A 40-year-old male with type 2 diabetes mellitus presents for a routine follow-up.

A 40-year-old male with type 2 diabetes mellitus presents for a routine follow-up. He currently takes metformin and gliclazide, his most recent HbA1c was 56 mmol/L. His albumin-creatinine ratio (ACR) is measured at 2.5mg/mmol on 2 separate occasions. What is the most appropriate management of this patient? 

Select the SINGLE most appropriate option from the list below. Select ONE option only.