62  years old male pt 
jnow to   have  DM  FOR THE LAST  25 YEARS 
HTN 
DLD

HE WAS    ENJENEER 

MEDICATION
INSULIN 
LANTUS     24 
NOVORAPID   10    =18 
DAVINUS    10 MG ONCE 
EXFORG  160/5 
CRESTOR  20 MG ONCE 


HE HAS NO NEW COMPLAINS 

HE  WAS REFERRED FROM DR SAMEER  

PLAN 

RTC AFTER   2 WEEKS 
DO LABS 
  AND HE FOUND TO HAVE CREATINIEN  1.9   THAT HAS INCREASED  TO   2 MG/DL 
