Patient Background: John, a 58-year-old male, has just been…

Questions

Pаtient Bаckgrоund: Jоhn, а 58-year-оld male, has just been diagnosed with type 2 diabetes mellitus (T2DM). His medical history includes chronic kidney disease (CKD) stage 3 and a recent diagnosis of heart failure with reduced ejection fraction (HFrEF). His current medications include lisinopril (Zestril) and furosemide (Lasix). John is a non-smoker and leads a moderately active lifestyle. Medical Information: John's lab results indicate an HbA1c of 7.8%. His blood pressure is controlled, and his lipid profile is within normal limits, though his renal function is slightly impaired. Question: Based on the current guidelines, which of the following treatment options would be most appropriate for John as an initial therapy for his type 2 diabetes mellitus?

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