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MediumEndocrinologyType 2 diabetes pharmacologic managementca-mccqe1ca-ccfpca-rcpsc-im

A 56-year-old woman with established type 2 diabetes (HbA1c 8.5% on maximal metformin) and obesity has normal eGFR and no history of cardiovascular disease. According to Diabetes Canada pharmacologic management guidance, what is the most appropriate next step?

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