73   
DM   for the last 7  years 
hypertension   for the last   5 
history for  c cath 
echo wsa done  many years gao  and  normal 
parotide   recection 
no  family history  for renal disease 


good  Exercise  Tolerance 
medication

xigdue  x r    10/1000
concor   5 mg  once 
thyroxin
asa  100 mg once 
amiocr  160/10
liponil  40 mg once
sitaglu  50 mg once
concor   5 mg once


creatinine 1
urine protein /creatinine ratio  2,2  normal 
a1c 7,6 
ldl 110 

rtc after 3  months 
add zinnat for uti 
add  new  fe folic