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Nephrology Opinion:
Mr. Amar Saduram Mulchandani has chronic kidney disease stage III-B, GFR 40ml/minute, mostly secondary to long standing diabetes mellitus (Diabetic Nephropathy). This is an irreversible condition which cannot be cured but only be controlled to delay the progression of chronic kidney disease. We have added keto-analogues which may help to control it. He is advised strict glycemic control and follow up in nephrology OPD-28 at J. J. Hospital on Tuesday or Thursday. He is advised to continue Tab Cardace 2.5 mg. 0-0-1, Tab empagliflozin 25 mg. 1-0-0, Tab linagliptin 5 mg. 1-0-0, Tab Diamicron XR 60 mg. 1-1-1, Tab Volibo 0.3 mg. 1-1-1, Tab Silodol-D 0-0-1.