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MediumNephrologyChronic kidney disease in diabetesca-mccqe1ca-ccfpca-rcpsc-im

A 61-year-old man with long-standing type 2 diabetes and hypertension has an eGFR of 42 mL/min/1.73 m² and persistent albumin-to-creatinine ratio 18 mg/mmol despite maximised ACE inhibitor therapy and good blood pressure control. What is the most appropriate next step in managing his chronic kidney disease?

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