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EasyEndocrinologyType 2 diabetes initial pharmacotherapyau-amcau-racgp

A 52-year-old man with newly diagnosed type 2 diabetes has an HbA1c of 66 mmol/mol (8.2%) despite 3 months of lifestyle intervention. BMI is 32 kg/m², eGFR 80 mL/min/1.73 m², and there is no clinical cardiovascular disease or albuminuria. What is the most appropriate next step in glycaemic management?

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