<s>[INST] i am a patient with diabetc nephropathy with hypertension.age 80 years.my sr.creatinie 5.5,blood urea is 75.taking insulin Mixtard 50.50,35 units in morning and 25 in the night with good control.taking Minimpress xl 2.5 mg bd with Torsemide 40 mg in the morning and 40 mg in the afternoon.apart from raised creatinine no other problems.How to bring down raised creatinine.thanks. [/INST] Hello, Consult a nephrologist and get evaluated. If creatinine is persistently high, dialysis may be needed. Strict monitoring of your fluid intake and urine output chart is also required. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician </s>