<s>[INST] hi my father is 60 years old he had bp & sugar he is taking medicine for bp and insulin for sugar last year we checked serium creatine and the level was 2.30  after some months the level very to 4.00 and now the report is 8.50 what is the medication for my dad plz write [/INST] Hello, seeing your creatinine reports which has come to 8 from 2, it is a matter of concern. His kidneys have reached damage to about 80%. I would suggest you to consult a nephrologist because he might require dialysis at least once or twice till his creatinine comes to normal range or his baseline i.e. 2. Then if it gets managed solely on medications he will just need to regularly keep check on his creatinine levels. I hope I have helped your question. Thank you </s>