45 y.o. male with uncontrolled diabetes (220 avg) with renal manifestations (proteinuria, creatinine of 1.4... normal is 1.3)

currently taking NPH (35 morning/35 evening)

bp of 182/120

-start on long acting (ACTOS -- 40 units once a day)
-also add regular insulin
-start Metformin?
-start Zestoretic

-start Norvax (calcium channel blocker...already taking zestoretic whcih has ace inhibibitor ... so no point taking lotrel which has an ace inhibitor)