my dear friend,your report says that you are having diabetes and dyslipidemia (lipid disorders).Hence there is possibility that you are having diabetes related kidney disease.In most of the CKDs kidney size decreases, diabetes is an exception to this rule.Same is your report.Look, for diabetic kidney disease, renal biopsy is not at all recommended now a days, unless any other type of renal disease is suspected in a diabetic patient.You are prone to have urinary tract infection because of diabetes.So the first thing you must do is to do a culture sensitivity of your urine and if it comes positive then take antibiotic as per the report(after consultation with a reliable doctor because for your renal problem dose adjustment is necessary).Urinary tract infection is a very common cause to de-compensate the stable status of diabetic kidney disease.In the mean while have an eye check up-FUNDOSCOPY to rule out diabetic retinopathy.Have your blood sugar,pressure and lipid tightly controlled.There are some drugs(ACE inhibitors or ARBs) that can be used to limit your renal problem but they are to be used with caution and monitoring (serum creatinine and potassium).Consult a nephrologist or good internist for detailed follow up.You can get them in your country or if you wish you can come to India.Good luck.By the way,your problem is very common among plentiful diabetic patients so don t panic.