What is the next appropriate management?

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A 62-year-old man diagnosed with T2DM with BMI=33. Lifestyle modifications have failed to control blood. Labs: urea=3.6mmol/l, creatinine=89mmol/l.

What is the next appropriate management?
A . Sulfonylurea receptor binder
B . Glitazone
C . Biguanide
D . Sulfonylurea

Answer: C

Explanation:

Explanation Patient is obese type 2 diabetic. So biguanide is the treatment of choice