AKT-4806

AKT-4806

You are conducting an annual health check on a 65-year-old female patient who has hypertension and type 2 diabetes. She takes ramipril in the morning and metformin twice a day, and has made lifestyle modifications including dietary changes. Her HbA1C level is 53 mmol/mol. When should a second medication be considered in combination with metformin to lower her HbA1c?