
67  years old male pt 
knonw to have  DM HTN   since   2008 

maintained on  atacand  plus and   januet 


presented  for  follow up 

he has  good  kidney fucntion test 

no  proteinuria 


   wbc  8,5   hgb    16.2     plt      187 


urine ana lisis       1030     albumin  nil
  no  rbc  and  no    wbc
hba1c   6.8 
creatinine   0.97


plan 
cinsuder   switching to   co diovan 
since  atacand  plus  is  not acailable 
rtc a fter 3  months 