The Very High Risk Patient With Diabetes

What would be the best choice regarding next steps in treatment for an adult male aged 65 years with Type 2 diabetes for 10 years duration who has had a myocardial infarction 6 months ago, with a blood pressure of 140/90 mmHg, HbA1c of 8.5%, low-density lipoprotein cholesterol (LDL-C) of 90 mg/dl, and with chronic kidney disease (CKD) with estimated glomerular filtration rate (eGFR) of 40 ml/min/1.73m2? He is currently on hydrochlorothiazide for his blood pressure, simvastatin 20 mg and metformin.

Which of the following is the best choice for this patient?

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