Hello and welcome to HCM.
As an Urologist
,i can understand your anxiety.
The patient has diabetic nephropathy
with CKD(chronic kidney disease
The patient must get diabetic control with insulins.
Strict control of protein 40gms and salt 6gms daily is essential.
Fluid intake should be urine output, plus 500ml daily.
Medical treatment,for B.P.control,calcium,and hematinics is needed.
,sodium,potassium and ACR will need to be tested.
Erythropoetin is given,if anemia is severe.Packed cells may be given.
If you've any doubts,send it as a direct question.
Dr.Matthew J. Mangat.