Dear Sir, Please find my mother medical report as below where in found chronic renal failure. Kindly advice to safe guard the kidney. DIAGNOSIS :Type II diabetes mellitus with peripheral neuropathy and rena impairment Hypertension Dyslipidemia Osteopenia at femoral neck L4-5 degenerative spondylolisthesis with spinal stenosis Benzodiazepine dependance Minimal cognitive impairment Hypochromic microcytic anemia Right chronic otitis media - ?Presbyacusis INVESTIGATIONS     inactive disease Auto Validated      11/07/2015     URINALYSIS ROUTINE RBC:1-2     /hpf,     WBC:15,     EC:1-2     /hpf,     BACT:++,           YEAST     CELLS:NIL, MUCUS:NIL                GLUCOSE     Negative           BILIRUBIN     Negative           KETONE     Negative           SPECI.GRAVITY     1.011          1.015     - 1.025                BLOOD     Negative           PH     5.0          4.6     -     8.0 PROTEIN     Negative           UROBILINOGEN     NORMAL           NITRITE     Negative           LEUKOCYTES     +++           RBC                WBC                11/07/2015     URINE PROTEIN/CREATININE RATIO PACKAGE               ADULTS AND CHILD 2     YRS 30 07/07/2015     GLUCOSE     FASTING     144     mg/dL     70-100 07/07/2015     HBA1 C (GLYCOSYLATED Hb)     7.40           X RAYS ECG- LVH with strain Chest Xray - Taken in incomplete inspiration. Aortic knuckle calcification. IncreF-ed bronchovascular markings DEXA - Osteopenia at femoral neck RECOMMENDATIONS Diet as advised Daily walks Exercises as advised AVOID NEPHROTOXIC DRUGS Core strengthening exercises LS spine flexion exercises Tab. Neurobion forte once daily .Discussed the surgical option if symptoms increase or persist after 3-4 months Tab Livogen 1 tablet twice daily Tab Albendazole 400 mgs stat and after 2 weeks Recheck Hb after 1 month. If there is no increase in Hb, she will need Upper and lower GI scopies, to rule out site of bleeding. If the Hb is improving, she will need to continue Livogen for a total period of 6 months to replenish iron stores. Tab Atorvastatin 10 mgs once daily Tab Glyciphage SR 500 mgs twice daily Tab. Temisartan 40 mg once daily Tab Paracetamol 2 tablets whenever required. Regular AC/PC checks and addition of OHA by local doctor Regular BP checks and addition of antihypertensive by local doctor Recheck serum lipids after 3 months Yearly Ophthal checks Rest as advised by Psychiatry I and ENT V