A 55-year-old woman with a 15-year history of type 2 diabete…
A 55-year-old woman with a 15-year history of type 2 diabetes and hypertension presents with 2+ pitting edema in the lower extremities. Her medications are Invokamet (1500 mg/day metformin + 150 mg/day SGLUT2 inhibitor combined) and metoprolol 50 mg/day (β-blocker). Blood pressure is 145/91 mm Hg, and estimated glomerular filtration rate is 53 ml/min/1.73 m2. Laboratory tests reveal modest albuminuria = 50 mg/g, as well as glycemia = 128 mg/dL, HbA1C = 6.2% and hypertriglyceridemia = 162 mg/dL. All other parameters in urinalysis and serum are within normal limits. 13. Which of the following is the most likely diagnosis?
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