MediumEndocrinologyDiabetes in Aboriginal and Torres Strait Islander personau-amcau-racgp
A 46-year-old Aboriginal man from a remote community has type 2 diabetes diagnosed 2 years ago. He smokes 10 cigarettes per day, has BMI 32 kg/m² and blood pressure 140/90 mmHg. HbA1c is 8.4% despite maximum tolerated metformin. What is the most appropriate next pharmacological step to address his glycaemic control and cardiovascular risk?