30   years old male pt 
knonw to have DM 1   since the age of  12 age 

referred from   dr  necenn   

mixtard  30  am   15 pm

he  presetedc    fro  follow up 
creatinine  1.87  and it  was 0.8  before  2  year s

ldl      198 
liver  enzyms  normal 
bun  25
tsh  2.7
urine analysis  showed +1  protein and   rbc 
cbc   showed      wbc     6,7   hgb       10.6    plt   258

plan 
add  liponil 
add  carvidelol 
add amicor 
add biosolve 
do labs   ana   c3  c4   esr   creatinine    albumin n/creatinine  ratio 
do  renal us 


Reevaluation 


