A 68-year-old obese man is presented to the physician who has had type 2 diabetes for 3 years. His blood pressure is 132/83 mmHg and his physical exam is normal.
He is currently on the following medications: Metformin 500mg-2 tablets twice daily Glyburide 5mg-2 tablets twice daily Atorvastatin 10mg-1 tablet daily Ramipril 2.5mg-1 capsule daily His blood and urine results are as follows: A1C: 7.9% ACR: 2.2 mg/mmol eGFR: 65 mL/min/1.73m2