### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi I am Sujata 69 Female from India.I am DM type 2 IDDM since last 25 years. Taking Humalog TDS and Lantus in night at 11 pm.My S. urea and S. Creatine level had started to rise and with all possible control on Blood Pressure and Sugar my S.urea 88 mg/dl S. Creatinine 4.6 mg/dl on 21.6.2012 when I was hospitalised for EDEMA due to Anemia Hb 8.6%.After discharge swelling on my ankles and feet was gone,was put on Erythropotien injection 0000 iu every ten days.My Hb improved to 9.8%.But S.Urea increased to 112 mg/dl and S.creatinine 6 mg/dl. Was diagnosed with UTI.Prescribed Nitrofuraton Bd for 7 days and Amikasin inj250 mg OD for 7 days.These were found SENSITIVE in Urine culture report.I have been advised by NEPHRO to get AV fistula fitted.What to do now.Am I inching towards Dyalisis?

### output:

Dear friend, welcome to Chat Doctor ! I am concerned with your uremic trends. I think you have diabetes related chronic kidney disease which has worsened with UTI.rising urea, great, edema and overall trends suggest worsened renal function and as per your nephron advice, you may need dialysis soon. AV fistula is planned for dialysis. Pl. go by your nephron. Advice.hope you recover soon. And do not fall prey to gossip/ unauthentic advises.pl. keep me posted on your progress.