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EasyEndocrinologyType 2 diabetes initial managementau-amcau-racgp

A 58-year-old man with newly diagnosed type 2 diabetes has fasting plasma glucose 8.5 mmol/L and HbA1c 7.8% (62 mmol/mol). He is overweight with BMI 31 kg/m², blood pressure 130/80 mmHg and no complications. What is the most appropriate initial pharmacological therapy in addition to lifestyle intervention?

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