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A 62-year-old patient with type 2 diabetes and an eGFR of 25 mL/min/1.73m² is currently taking metformin 1g twice daily. According to NICE guidelines, what action should be recommended?
Continue metformin at the current dose as it remains effective
Discontinue metformin as eGFR is below 30 mL/min/1.73m²
Increase the dose to improve glycaemic control
Switch to gliclazide only if HbA1c is above 58 mmol/mol
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Correct Answer:
Discontinue metformin as eGFR is below 30 mL/min/1.73m²
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