63-year-old male with diabetes for seven to eight years (BbA1c consistently between 5.9-6.5, fasting blood sugar around 7, other times high between 8-9-9.5, no low blood sugar). CKD for five years (starting with 24-hour urine protein within 200, GFR around 100, but in the last 1-2 years urine protein between 300-400mg, GFR between 60-70, most recent one being 56). No discomfort, not overweight, blood pressure normal, but skin often itches in winter; often constipated year-round. <br><br>Current medication: 1. Allisartan Tablets 240mg/day 2. Dapagliflozin Tablets 10mg/day 3. Metformin HCL 500mg*3/day 4. Pancreatic kininogenase enteric-coated Tablets.<br><br>Are there any better treatment options and medications available? Avoid or delay dialysis if possible. Are there any other exams that need to be done? What are the recommendations for exercise and diet in addition to medication? When should the above medication be switched to insulin due to CKD?<br>