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A 65-year-old man with type 2 diabetes, hypertension, and chronic kidney disease stage 3b (eGFR 38 mL/min/1.73m²) presents for review. His HbA1c is 62 mmol/mol (7.8%). He is currently taking metformin 1g BD and ramipril 10mg OD. His urinary albumin:creatinine ratio (uACR) is 45 mg/mmol. According to NICE guidelines, which medication should be initiated?

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