Conversation: The conversation between human and AI assistant.
[|Human|] my sister is 35 years old she is suffering from diabetes since 10 years very recently we came to know that she is suffering from kidney problem her creatinine level is 2.6 when her sugar level is under control her creatinine level goes up and vic e versa kindlly suggest what shhould be done in future
[|AI|]  Dear user, I recommend you: step 1) to perform a endoscopy to diagnose diabetic retinopathy. If this is diagnostic for retinopathy, then it is very likely that your sister has a diabetic nephropathy, although EVERY organic cause should be excluded at least with lab exams (C3,C4, ANA, kappa and lambda free light chains, urinalysis). If your sister has a negative endoscopy, a renal biopsy should be performed. Avoid every nephrotoxic Chat Doctor. Let me know, An