today the pateint was seen 
she has lower limbs edem a
creatinine   1,69
a1c 10
proteinuria   513
high blood pressure


plan 
add  valsadipin   150/5/12,5  since her blod rpessure  was  180 
add  level 
manesium 
j  dee 

rtc after  6  weeks 
to repeat     creatinine and to send  it    within 2 weeks 
continue  other the same 
if the proteinuria persist  then consider  kidney biopsy 