Patient vomitting saliva several times throughout the day after eating almost everything or without eating. patient is female aged :59 years current ongoing medicine on this poblem prescribed earlier : Razo-D daily once blood is coming with stool . insulene intake: 18 unit(morning)--15unit(night) sugar level :fasting :200/PP-250 blood pressure :130/70 current medications for this problems are mentioned below Tab razo 20 mg once daily before bteakfast Tab domstal 10 mg thrice daily before meals Tab emset 8 mg thrice daily before meals condition is not at all improving after taking medications for 1 week