<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hello doctor my father is type 2 diabetic is under insulin his blood sugar is under control . he had his all the investigations from delhi gangaram hospital around 1 years back he had this diabetic nephropathy but his creatinine at that time was 1.9 recently i asked for hid blood checked and his recent reports shows GLucose F 97mgdl pp 156mgdl UREA: 169 mgdl Creatinine 6.62mgdl Na:132 potassium: 4.5 uric acid 4.0mgdl cholesterol 100mgdl calcium 7.8mgdl phosphorus inorganic 5.9mgdl tsh 28.88uIUml hemoglobin 8.2gm Total count 8400cmm Urine RE Ph acidic Albumin sugar trace ME RBC 0-2 pus cells 1-3 epithelial cells 0-2 IRON PROFILE Iron 91microgmdl TIBC 311 microgmdl Ferritin 362 nanogmml IMMUNOLOGY PTH 100.5pgml We have planned for the ultrasound and 24hr protein and Creatinine Clearance He is completely asymptomatic no nausea vomiting his urine input output charting is normal we are still under investigation wat do you think do we need to investigate more ? Do prostate also have any role in the above mentioned values? please tell me the best possible investigations that could be done i am from nepal but recently i am in japan so please tell me the best possible management for him as i would like to do every possible thing available . thank you  <response>: Hello and welcome to Chat Doctor. Kasthu CIA. Ramro ?.. As a Urologist, let me advise you, that your fathers Diabetic Nephropathy has increased from 1.9 creatinine, to 6.62. He has anemia, Hb of 8.2gmml, with luminaria urine-alb:3. Now, his HbA1C, is not done. But other reports are as expected. But treatment taken at present isnt mentioned to give you proper advice. You can reply to me with the reports of US scan, and 24 hours protein and Cr.clearance. It should show proteinuria as expected. Dietary advice is important. You may contact me with all reports, as a direct question. Chat Doctor. Manga. 