Sir / Madam, My brother 56 years, He is a diabetic and under guidance and supervision of Dr. Dinesh Neopane, MBBS, MD at Biratnagar (Nepal. However, from past one and half year it is observed that his hemoglobin count gets reduced drastically in short span of time. This issue though has been addressed but we would like to get an expert opinion for better solution. At earlier stage doctor did assumed that it could be due to piles problem and with few units of blood transfusion patient was better. This result though was short lived and after five months again blood transfusion was done. On the recommendation of consulting doctor we met Nephrologist and his views were in sync with family doctor and advice was to continue the same medicine. Later, the patients started feeling week and under consultation of the doctor an injection EPOFIT (erythropoietin) was used twice weekly for six weeks. At that period the patient's hemoglobin count was below 6. Currently report shows that prescribed injection is working fine and patients has show improvement but we family members would like to take an expert review at your recommendation or reference is required as which doctor would be seeking appointment with. Looking forward for your early reply.