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 Write your answer without using the letter x whatsoever in your entire response.
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