Hello Dr, my father-in-law is 57 years old, 50 kg, and has undergone by-pass heart surgery 8 years back. He is a diabetic since 5 years. Now he has developed renal problem and was advised dialysis. His creatinine level is 5 and GFR is 13. He is refusing for dialysis and is on homeo medicine. Kindly suggest.
Dear user, although the clinical history is very suggestive for an evolution renal disease due to diabetes and cardio-renal syn Chat Doctor.  If this is negative for diabetic nephropathy, I would suggest a renal biopsy if there is still a good amount of parenchymal. If it is positive, I would recommend continuing the ongoing process. Take care,