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MediumEndocrinologyType 2 diabetes with ASCVDca-mccqe1ca-ccfpca-rcpsc-im

A 63-year-old woman with type 2 diabetes, prior myocardial infarction and an HbA1c of 7.6% on maximally tolerated metformin presents for review. eGFR is 55 mL/min/1.73 m². According to Canadian guidelines, which is the most appropriate next pharmacologic step to reduce future cardiovascular events?

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