Type 1 Diabetes Mellitus in Medicine / Internal Medicine — 26yo Man | Nephrology | SMLE Q#10957
SMLE Question #10957
Medicine / Internal Medicine
Nephrology
Objective: OBJ-188
Last updated: February 2026
A 26-year-old man with type 1 diabetes mellitus on a basal–bolus insulin regimen attends a routine follow-up. His father had a myocardial infarction at age 55. He has had two elevated urine albumin-to-creatinine ratios on repeat testing. He is not taking any antihypertensive medication. Examination is otherwise unremarkable. What is the most appropriate additional long-term treatment?
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