A fifty-nine-year-old woman has had diabetes mellitus type 2…
A fifty-nine-year-old woman has had diabetes mellitus type 2 for 15 years. She takes metformin and a sodium glucose cotransporter two inhibitor. Her glycosylated hemoglobin is 7.3. Blood pressure is 142/86 millimeters of mercury. Recent laboratory tests show a urine albumin–to–creatinine ratio that is mildly elevated on two separate occasions and a normal estimated glomerular filtration rate. She has no known cardiovascular disease. Which change in her treatment plan is most consistent with current outpatient guidelines to protect kidney function?