70   years old    female pt 
knonw to have    dm  for the last   20  years 
presented with dysuri   and   frequency  
abdominal us 


medication 
metformin 
amaryl   4 
galvus 1x2 


urine analysois showed     =3  glucose and    wbc   40-50
e  coli       sensitive    zinnat 
urostabe   

plan 
rtc   after   2   month