today she was seen and her  chart was reviewed 

creatinine 0.8 
albumin  /creatinien  ratio  improved from  1.9  toi 0.7
ldll  improved  149  to  86 
hdl     improved   to  654 
bp  139/87 

plan 
keep  forxiga  10 mg ocne 
keep  valsadipin  hct         and alternating with    exforg 
crestor  20 mg ocne 