Patient complaints of headache, maturation Swelling over body, anemia, anorexia, irritable K/c/o DM,HTN *Chief Complaints* Headache Maturation of urine Swelling over the body Fatigue, generalized waekness Hyperglycemia *History* DM HTN Medium economic data *Vitals* B.P 190/100 HR 109 RR 24 Spo2 96% *Physical Examination* Pitting edema both limbs *Diagnosis* Diabetic nephropathy with UTI,CLD *Management* Patient on medical management Please suggest further management and diagnosis and prognosis