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EasyEndocrinologyType 2 diabetes initial therapyca-mccqe1ca-ccfp

A 54-year-old man is newly diagnosed with type 2 diabetes after fasting plasma glucose 8.5 mmol/L on two occasions and HbA1c 7.5%. He is overweight but otherwise healthy, with normal renal function and no cardiovascular disease. What is the most appropriate initial pharmacologic management?

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