asa   100 mg ocne 
alloril  100 mg ocne 
metformin   850 mg ocne 
actrapid    6  before   each maea 
lantus     25 iu   at om 
lorax  
liponil   40 mg ocne 

plan 
add   empa 
add  lusral 
add amicor 
add  ogmin 
to do creatinine and then reevalaution 