45  years old male pateint 
dm for the last   18 years 
before  8 months  he   has  polyuria and gneralazied weakness 
he has  nocuria 
he has  numbness  on the lower limbs and he started    on nervantin 
he  developed   perioribital eye puffness 


he  found   to have  high blood pressure 

atacand   8 mg once daily 
he asked him to   take  atacand  16 mg once daily 
aftrer  eating he has  abdoianl  bloating and lower limbs  edema 
amicor   5mgonce 
apidra   12   15  12 
lantus  22  am a nd  22  pm 
glucomet  750 mg 1x2 


plan
stop amicor 
carvidelol 
atacand  plus 
acidphilus 
laxadin 
j dee 
b12 
do echo 
do labs 
reevlaution 
urine proteincreatinine  ratio  0.4