Type 2 Diabetes Has in Medicine / Internal Medicine — 55yo Man | Endocrinology | SMLE Q#16549

SMLE Question #16549

Medicine / Internal Medicine Endocrinology

Objective: OBJ-ADDISON-DOSE-1

Last updated: February 2026
A 55-year-old man with type 2 diabetes has been taking metformin 1000 mg twice daily for 2 years. He is asymptomatic and has no history of coronary artery disease or heart failure. Blood pressure readings at three separate visits remain elevated. Physical examination is otherwise unremarkable. Glycaemic control is at target, and kidney function and urine albumin excretion are normal. What is the most appropriate next step in management?

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