62 years old female pateint 
known to have   have   dm for the last   30 years 
htn for the last   10 years 

she was     doing well untill   last month  wne she  found to ave creatinine  1.4 
alt   14 
fbs   180 
a1c   9,5 
urea   27 
uric a cid  7 


mediation 
codiovan      160/25 
empa  10 mg once 
multivitamin 

sitaglu    50 mg 
mixtard 

atorvastatin     40 mg ocne 
metformin  850 mg once 
concor   5 mg ocne 
asa  100 mg once 
lasix    40   eod 
ferrous  fumarate 
calcium 
multivitamin 

plan 
add c adex 
stop  lasix 
make  valsan    12.5 
add  apidra 
add  bioslove 
rtc after one month  after doing labs ans urine analysis and urine protein 
rtc after one monthrt