70  years old male pt 
known to have  CKD    with base line creatinine    3.4 

after ramadan fasting  t  increased 3.4
hdl   28, tri  111, uric 5.2.uria   46
choles  129
creatinine3.49
glucose  101
ldl 77
ast  9/ alt  9
wbc  4,7   hgb9.8    plt  175


plan 
add  deflazacort    for  10 days