45  years old male pt 
DM 1  Sice  the age of  22 
hypothyroidim 
retinopathy 
nephropathy 
hypertension 
gout 


he was referred from dr hani 
he  has  creatinine  of 4  mg/dl 

Medication 
cadex 4 mg   1x1 
amicor n  5 mg once 
thyroxin  200 mcg once 
lipinil   40 mg 
lantus 30 
actrapid 10   
