Type 2 Diabetes Mellitus in Medicine / Internal Medicine — 60yo Man | Cardiology | SMLE Q#18257
SMLE Question #18257
Medicine / Internal Medicine
Cardiology
Objective: OBJ-163
Last updated: February 2026
A 60-year-old man with type 2 diabetes mellitus and known hypertension returns for follow-up 3 months after starting metformin and gliclazide. He is not taking any antihypertensive medication. Blood pressure remains elevated on repeat readings. He has obesity. Urine dipstick is positive for protein, and renal function is otherwise preserved. Which of the following is the most appropriate initial antihypertensive treatment for this patient?
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